MEDICARE: CARETRAN OF COLUMBUS

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)

General Provider Information

NPI Number	:	1376916395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARETRAN OF COLUMBUS

Provider Business Mailing Address
First Line	:	4522 KILDEER CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-5825
Country	:	US
Telephone Number	:	614-947-9668
Fax Number	:

Provider Business Practice Location Address
First Line	:	4522 KILDEER CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-5825
Country	:	US
Telephone Number	:	614-947-9668
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDULRAHMAN M MOHAMED
Credential	:
Telephone Number	:	614-947-9668

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	11/12/2015

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Directions to “CARETRAN OF COLUMBUS ” Practice Location

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