Provider Demographics
NPI:1538716196
Name:COLUMBUS MOBILITY SERVICES INC.
Entity type:Organization
Organization Name:COLUMBUS MOBILITY SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUKHTAR
Authorized Official - Middle Name:ABU
Authorized Official - Last Name:MAIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-446-8091
Mailing Address - Street 1:204 REBOOT LN APT 302
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-8994
Mailing Address - Country:US
Mailing Address - Phone:614-446-8091
Mailing Address - Fax:
Practice Address - Street 1:204 REBOOT LN APT 302
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-8994
Practice Address - Country:US
Practice Address - Phone:614-446-8091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)