Provider Demographics
NPI:1679867840
Name:ENTERPRISE MEDICALERVICES TRANSPORTATION INC.
Entity type:Organization
Organization Name:ENTERPRISE MEDICALERVICES TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIDEST
Authorized Official - Middle Name:
Authorized Official - Last Name:KIFLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-560-1848
Mailing Address - Street 1:6522 LIMPKIN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6472
Mailing Address - Country:US
Mailing Address - Phone:614-560-1848
Mailing Address - Fax:
Practice Address - Street 1:6522 LIMPKIN DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-6472
Practice Address - Country:US
Practice Address - Phone:614-560-1848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle