Provider Demographics
NPI:1891934816
Name:SOMALI COMMUNITY ACCESS NETWORK
Entity Type:Organization
Organization Name:SOMALI COMMUNITY ACCESS NETWORK
Other - Org Name:SOMALICAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JIBRIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIRSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-781-1414
Mailing Address - Street 1:700 MORSE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1879
Mailing Address - Country:US
Mailing Address - Phone:614-781-1414
Mailing Address - Fax:
Practice Address - Street 1:700 MORSE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1879
Practice Address - Country:US
Practice Address - Phone:614-781-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1823725251S00000X
251V00000X, 347C00000X
OH343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle