Provider Demographics
NPI:1447616057
Name:SPRINGWAY HEALTH AND TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:SPRINGWAY HEALTH AND TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DUMKA
Authorized Official - Middle Name:AWANEN
Authorized Official - Last Name:BIRAGBARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-475-6504
Mailing Address - Street 1:425 W SCHROCK RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8918
Mailing Address - Country:US
Mailing Address - Phone:330-475-6504
Mailing Address - Fax:
Practice Address - Street 1:983 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2342
Practice Address - Country:US
Practice Address - Phone:330-475-6504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty