Provider Demographics
NPI:1598052169
Name:ACCESS-MED AMBULANCE SERVICE
Entity Type:Organization
Organization Name:ACCESS-MED AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-337-1100
Mailing Address - Street 1:2165 S JAMES RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-3850
Mailing Address - Country:US
Mailing Address - Phone:614-337-1100
Mailing Address - Fax:614-239-1351
Practice Address - Street 1:2165 S JAMES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3850
Practice Address - Country:US
Practice Address - Phone:614-337-1100
Practice Address - Fax:614-239-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022156850341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0070537Medicaid
OH0070537Medicaid