Provider Demographics
NPI:1093586869
Name:BUDDY MEDTRANSPORT LLC
Entity Type:Organization
Organization Name:BUDDY MEDTRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:PRINCESS
Authorized Official - Last Name:NNEBUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-654-8924
Mailing Address - Street 1:PO BOX 29703
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-0703
Mailing Address - Country:US
Mailing Address - Phone:614-657-8924
Mailing Address - Fax:
Practice Address - Street 1:6741 SKYWAE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-8217
Practice Address - Country:US
Practice Address - Phone:614-657-8924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)