MEDICARE: DISCOVERY MEDICAL TRANSPORT

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	251T00000X	PACE Provider Organization	900790533

General Provider Information

NPI Number	:	1669738910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVERY MEDICAL TRANSPORT

Provider Business Mailing Address
First Line	:	2945 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4462
Country	:	US
Telephone Number	:	614-348-2852
Fax Number	:	614-475-9193

Provider Business Practice Location Address
First Line	:	2945 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224
Country	:	US
Telephone Number	:	614-348-2852
Fax Number	:	614-475-9193

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANWAR K ADAM SR.
Credential	:	MR
Telephone Number	:	614-348-2852

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	02/25/2015

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Directions to “DISCOVERY MEDICAL TRANSPORT ” Practice Location

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