Provider Demographics
NPI:1922313642
Name:ACCESS MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:ACCESS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FAWZI
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-515-7862
Mailing Address - Street 1:3310 MORSE RD
Mailing Address - Street 2:107
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6191
Mailing Address - Country:US
Mailing Address - Phone:614-515-7862
Mailing Address - Fax:
Practice Address - Street 1:3310 MORSE RD
Practice Address - Street 2:107
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6191
Practice Address - Country:US
Practice Address - Phone:614-515-7862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)