Organization
MATERNOHIO CLINICAL ASSOCIATES LLC
Active
Other names
MaternOhio Clinical Associates Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JIM YERINA (CHIEF FINANCIAL OFFICER)
(614) 641-4024
Entity
Organization
Contact information
Practice address
1315 W LANE AVE STE D, COLUMBUS, OH 43221-3544
(614) 457-4827
(614) 326-0250
Mailing address
1700 LAKE SHORE DR STE 350, COLUMBUS, OH 43204-4895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35083946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2586296
—
OH
01
—
DE1422
MEDICARE RAILROAD GROUP NUMBER
OH
Enumeration date
09/27/2006
Last updated
02/11/2025
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