MEDICARE: MILES IN MINUTES TRANSPORTATION AND HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		OH
2	251C00000X	Developmentally Disabled Services Day Training Agency		OH

General Provider Information

NPI Number	:	1225424666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILES IN MINUTES TRANSPORTATION AND HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	3473 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	614-946-5504
Fax Number	:

Provider Business Practice Location Address
First Line	:	3473 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	614-946-5504
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MRS. TOMIKA GORDON
Credential	:
Telephone Number	:	614-946-5504

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	04/15/2015

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