Organization
HEALTH ONE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE M BOMGARDNER (CEO)
(614) 947-1320
Entity
Organization
Contact information
Practice address
4079 GANTZ RD STE B, GROVE CITY, OH 43123-4913
(614) 875-3444
(614) 947-1324
Mailing address
PO BOX 638, JOHNSTOWN, OH 43031-0638
(614) 947-1320
(614) 594-3649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190773
—
OH
Enumeration date
06/01/2016
Last updated
10/07/2022
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