MEDICARE: ON-TIME TRANSPORTATION SERVICES 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)	1562929	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	:	1386857852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON-TIME TRANSPORTATION SERVICES INC

Provider Business Mailing Address
First Line	:	4770 INDIANOLA AVE
Second Line	:	SUIT LL B
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	614-785-9330
Fax Number	:	614-785-9331

Provider Business Practice Location Address
First Line	:	4770 INDIANOLA AVE
Second Line	:	SUIT LL B
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	614-785-9330
Fax Number	:	614-785-9331

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ABDIWAHAB ABDULLAHI DAHIR
Credential	:
Telephone Number	:	614-785-9330

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/22/2020

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Directions to “ON-TIME TRANSPORTATION SERVICES INC ” Practice Location

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