Organization Active NPI

U1St Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
National Provider Identifier
1174844294
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
3041023 Issued in OH
Legal business name
U1ST MEDICAL TRANSPORTATION
Practice address
1028 Lornaberry LN
Suite 1
Columbus, OH 43213-3328
Phone
(614) 559-0616
Fax
(614) 866-2971
NPI assigned
Jun 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jawanza R Moore
Title
Ceo/President
Phone
(614) 559-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 3041023 OH Primary

Addresses

Primary practice location

1028 Lornaberry LN
Suite 1
Columbus, OH 43213-3328

Mailing address

1028 Lornaberry LN
Suite 1
Columbus, OH 43213-3328
Phone (614) 559-0616

Other identifiers 1

IdentifierTypeStateIssuer
3041023MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1174844294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LORNABERRY LN",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133328",
            "telephone_number": "614-559-0616",
            "fax_number": "614-866-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 LORNABERRY LN",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133328",
            "telephone_number": "614-559-0616",
            "fax_number": "614-866-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U1ST MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAWANZA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "16145590616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "3041023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3041023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.