MEDICARE: QUALITY 1 TRANSPORTATION L.L.C.

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)		OH

General Provider Information

NPI Number	:	1760731038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY 1 TRANSPORTATION L.L.C.

Provider Business Mailing Address
First Line	:	2154 ORIOLE PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2038
Country	:	US
Telephone Number	:	614-598-8102
Fax Number	:	860-902-6415

Provider Business Practice Location Address
First Line	:	2154 ORIOLE PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2038
Country	:	US
Telephone Number	:	614-598-8102
Fax Number	:	614-492-6032

Authorized Official
Title or Position	:	CEO
Name	:	MR. JONATHAN EDWARD CROWDER
Credential	:
Telephone Number	:	614-598-8102

Provider Enumeration Date	:	09/02/2012
Last Update Date	:	04/08/2014

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