MEDICARE: BUCKEYES MEDICAL TRANSPORTATION

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	343800000X	Secured Medical Transport (VAN)

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	:	1639355589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKEYES MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	2151 E DUBLIN GRANVILLE RD STE 207
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3519
Country	:	US
Telephone Number	:	614-523-3389
Fax Number	:	614-523-3759

Provider Business Practice Location Address
First Line	:	2151 E DUBLIN GRANVILLE RD STE 207
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3519
Country	:	US
Telephone Number	:	614-523-3389
Fax Number	:	614-523-3759

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MOHAMUD KAYSE
Credential	:
Telephone Number	:	614-352-0945

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	01/10/2008

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Directions to “BUCKEYES MEDICAL TRANSPORTATION ” Practice Location

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