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NPI Code Detail

MEDICARE: PRIDE MEDICAL TRANSPORT LLC

MEDICARE: PRIDE MEDICAL TRANSPORT LLC
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
1342000000XTransportation Network Company

General Provider Information

NPI Number : 1780417154
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIDE MEDICAL TRANSPORT LLC
Provider Business Mailing Address
First Line : 1900 POLARIS PKWY STE 450
Second Line :
City : COLUMBUS
State : OH
Zip : 43240-4064
Country : US
Telephone Number : 614-785-6470
Fax Number :
Provider Business Practice Location Address
First Line : 1900 POLARIS PKWY STE 450
Second Line :
City : COLUMBUS
State : OH
Zip : 43240-4064
Country : US
Telephone Number : 614-785-6470
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAUDATU NANAH TURAY
Credential : LPN
Telephone Number : 614-632-5742
Provider Enumeration Date : 08/21/2024
Last Update Date : 08/21/2024

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Directions to “PRIDE MEDICAL TRANSPORT LLC ” Practice Location

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