Provider Demographics
NPI:1609210871
Name:BUCKEYE TRANS SYSTEM INC.
Entity Type:Organization
Organization Name:BUCKEYE TRANS SYSTEM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIBRIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-934-7075
Mailing Address - Street 1:3505 WESTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-2554
Mailing Address - Country:US
Mailing Address - Phone:614-934-7075
Mailing Address - Fax:614-934-7113
Practice Address - Street 1:3505 WESTERVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-2554
Practice Address - Country:US
Practice Address - Phone:614-934-7075
Practice Address - Fax:614-934-7113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH259355343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)