Organization
CITY OF COLUMBUS
Active
Parent organization
CITY OF COLUMBUS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF COLUMBUS
Authorized official
MRS. TERESA C. LONG M.D., M.P.H. (HEALTH COMMISSIONER)
(614) 645-7417
Entity
Organization
Contact information
Practice address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6447
Mailing address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6447
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0266555
MOLINA
OH
05
—
0266555
—
OH
01
—
XXXXXXXXX035
CARESOURCE
OH
Enumeration date
03/03/2009
Last updated
05/25/2017
Update your record
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