Organization
OHIOHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HAINEY (CREDENTIALING COORDINATOR)
(614) 544-6161
Entity
Organization
Contact information
Practice address
800 MCCONNELL RD, COLUMBUS, OH 43214-3463
(614) 566-5019
Mailing address
1679 FRONTIER TRL, MANSFIELD, OH 44905-2939
(419) 571-0062
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
APRNCNP019313
OH
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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