Organization
OHIO HEALTH ENTERPRISES, INC.
Active
Other names
pulmonary care, inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL JOHN GRAHAM III (PRESIDENT)
(614) 733-0333
Entity
Organization
Contact information
Practice address
6618 CASTLEFORBES CT, DUBLIN, OH 43016-8419
(614) 733-0333
(614) 873-0727
Mailing address
6618 CASTLEFORBES CT, DUBLIN, OH 43016-8419
(614) 733-0333
(614) 873-0727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25-288968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155155
ANTHEM PROVIDER NUMBER
OH
05
—
0854026
—
OH
Enumeration date
03/07/2006
Last updated
08/22/2020
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