Provider Demographics
NPI:1750817987
Name:SAFE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SAFE MEDICAL TRANSPORTATION LLC
Other - Org Name:SAFE MEDICAL TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAFIYA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-846-5548
Mailing Address - Street 1:876 FREEWAY DRIVER NORTH
Mailing Address - Street 2:876 FREEWA DRIVER NORTH
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229
Mailing Address - Country:US
Mailing Address - Phone:614-846-5548
Mailing Address - Fax:
Practice Address - Street 1:876 FREEWAY DRIVER NORTH
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229
Practice Address - Country:US
Practice Address - Phone:641-846-5548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAFE MEDICAL TRANSPORTATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-09
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251585343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicare Oscar/Certification