Organization Active NPI

Memorial Emergency Medical Service LLC

  • Land Ambulance
  • Columbus, OH
National Provider Identifier
1811534704
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MEMORIAL EMERGENCY MEDICAL SERVICE LLC
Practice address
2375 Refugee Park
Columbus, OH 43207-2173
Phone
(614) 549-7005
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Mohammad Alhejja
Title
Sole Member
Phone
(770) 533-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2375 Refugee Park
Columbus, OH 43207-2173

Mailing address

2375 Refugee Park
Columbus, OH 43207-2173

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL emscHARTS Direct

National Provider Directory

National Provider Directory

Locations

2375 Refugee Park
Columbus, OH 43207
Phone (614) 549-7005

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1811534704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 REFUGEE PARK",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432072173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 REFUGEE PARK",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432072173",
            "telephone_number": "614-549-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL EMERGENCY MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "ALHEJJA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "770-533-1155"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emscHARTS",
            "affiliation": "N",
            "endpointDescription": "Electronic Patient Care Reporting Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care",
            "address_1": "2375 Refugee Park",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432072173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 1, 2020; 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.