Provider Demographics
NPI:1669775409
Name:HEALTHCARE TRANSPORTATION, LLC
Entity type:Organization
Organization Name:HEALTHCARE TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAGHIDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HALAOUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-759-9392
Mailing Address - Street 1:551 SADDLETREE DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1148
Mailing Address - Country:US
Mailing Address - Phone:614-759-9392
Mailing Address - Fax:614-759-9392
Practice Address - Street 1:551 SADDLETREE DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1148
Practice Address - Country:US
Practice Address - Phone:614-759-9392
Practice Address - Fax:614-759-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHFDX7416343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)