Provider Demographics
NPI:1962843151
Name:RELIABLE TRANSPORTATION SERVICES OF CENTRAL OHIO
Entity Type:Organization
Organization Name:RELIABLE TRANSPORTATION SERVICES OF CENTRAL OHIO
Other - Org Name:RTS OF CENTRAL OH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FAIRETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-920-9911
Mailing Address - Street 1:PO BOX 198
Mailing Address - Street 2:
Mailing Address - City:BRICE
Mailing Address - State:OH
Mailing Address - Zip Code:43109-0198
Mailing Address - Country:US
Mailing Address - Phone:614-920-9911
Mailing Address - Fax:614-321-6393
Practice Address - Street 1:6723 ALEX DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8690
Practice Address - Country:US
Practice Address - Phone:614-920-9911
Practice Address - Fax:614-321-6393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2346447Medicaid