Provider Demographics
NPI:1164750451
Name:PATIENT TRANSPORT SERVICES OF COLUMBUS LLC
Entity Type:Organization
Organization Name:PATIENT TRANSPORT SERVICES OF COLUMBUS LLC
Other - Org Name:COLUMBUS CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:HERDTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-576-0262
Mailing Address - Street 1:1700 EDISON DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2729
Mailing Address - Country:US
Mailing Address - Phone:513-576-0262
Mailing Address - Fax:513-576-0379
Practice Address - Street 1:2160 SOUTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-1893
Practice Address - Country:US
Practice Address - Phone:614-234-0300
Practice Address - Fax:614-234-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH25-044-9341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3021125Medicaid
590013796OtherMEDICARE RR
OH3021125Medicaid