# MOUNT CARMEL HEALTHPROVIDERS TWO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mount Carmel Thoracic East
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881022275
- **Authorized official:** DIANA HANCOCK (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (614) 546-4621

## Contact information

- **Practice address:** 5969 E BROAD ST, SUITE 409, COLUMBUS, OH 43213-1546
- **Practice address phone:** (614) 864-5864
- **Practice address fax:** (614) 864-9302
- **Mailing address:** 5969 E BROAD ST, SUITE 409, COLUMBUS, OH 43213-1546
- **Mailing address phone:** (614) 864-5864
- **Mailing address fax:** (614) 864-9302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2013
- **Last updated:** 10/22/2013