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DIVINE TRANSPORT SERVICE LLC NPI 1235660630


NPI Information

NPI: 1235660630
Provider Name: DIVINE TRANSPORT SERVICE LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
7306 COOK FARM DR
REYNOLDSBURG, OH
ZIP 43068
Phone: (614) 638-3466
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DIVINE TRANSPORT SERVICE LLC is a non emergency medical transport van in Reynoldsburg, OH. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. DIVINE TRANSPORT SERVICE LLC NPI is 1235660630. The provider is registered as an organization entity type.

The provider's business location address is:

7306 COOK FARM DR
REYNOLDSBURG, OH
ZIP 43068-074
Phone: (614) 638-3466

The provider's authorized official is Kwaku Bonsu .
The authorized official title is Owner and has the following contact phone number (614) 638-3466.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 3/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)235055OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10151757MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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