MEDICARE: AMBAHCARE LLC

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	3416L0300X	Land Ambulance		OH
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1336699628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBAHCARE LLC

Provider Business Mailing Address
First Line	:	1393 GREENCROFT RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1781
Country	:	US
Telephone Number	:	614-323-7717
Fax Number	:

Provider Business Practice Location Address
First Line	:	1393 GREENCROFT RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-1781
Country	:	US
Telephone Number	:	614-649-4550
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	CHERNOR AMADU BAH
Credential	:	LPN
Telephone Number	:	614-323-7717

Provider Enumeration Date	:	10/11/2016
Last Update Date	:	03/21/2024

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Directions to “AMBAHCARE LLC ” Practice Location

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