MEDICARE: TEAM TRANSPORTATION RESOURCES, INC.

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)	255495	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245323567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEAM TRANSPORTATION RESOURCES, INC.

Provider Business Mailing Address
First Line	:	3310 MORSE RD STE 105/108
Second Line	:	N/A
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6191
Country	:	US
Telephone Number	:	614-418-0073
Fax Number	:	614-418-0074

Provider Business Practice Location Address
First Line	:	3310 MORSE RD STE 105/108
Second Line	:	N/A
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6191
Country	:	US
Telephone Number	:	614-418-0073
Fax Number	:	614-418-0074

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MOHAMED MOHAMUD AHMED SR.
Credential	:	NONEMERGENCY TRANSPO
Telephone Number	:	614-418-0073

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	05/12/2008

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Directions to “TEAM TRANSPORTATION RESOURCES, INC. ” Practice Location

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