Organization
COLUMBUS FAMILY CARE CENTER LLC
Active
Parent organization
COLUMBUS FAMILY CARE CENTER LLC
Other names
FAMILY HEALTHCARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBUS FAMILY CARE CENTER LLC
Authorized official
JACOBINA ASUNSULEY ADAMU FNP (CEO)
(614) 274-4171
Entity
Organization
Contact information
Practice address
2800 W BROAD ST, COLUMBUS, OH 43204-2654
(614) 274-4171
Mailing address
2800 W BROAD ST, COLUMBUS, OH 43204-2654
(614) 274-4171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449809
—
OH
05
—
0470394
—
OH
Enumeration date
11/19/2021
Last updated
10/17/2024
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