South Western Ambulance Service LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SOUTH WESTERN AMBULANCE SERVICE LLC

Practice address

6161 Busch Blvd Ste 84
Columbus, OH 43229-2548

Phone

(614) 348-2852

Fax

(866) 390-4835

NPI assigned

Oct 13, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Anwar K Adam

Title

Owner

Phone

(614) 348-2852

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1356816680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD SUIT 84",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43224",
            "telephone_number": "614-348-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 84",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292548",
            "telephone_number": "614-348-2852",
            "fax_number": "866-390-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WESTERN AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-348-2852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Columbus, OH
• Providers in Columbus, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.