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Organization

EQUITAS HEALTH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN SHEPHERD (DIRECTOR OF REVENUE CYCLE)
(833) 378-4827
Entity
Organization

Contact information

Practice address
2805 GILBERT AVE, CINCINNATI, OH 45206-1210
(833) 378-4827
(833) 222-8164
Mailing address
1105 SCHROCK RD STE 400, COLUMBUS, OH 43229-1174
(833) 378-4827

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0389203
OH
Enumeration date
01/14/2020
Last updated
01/03/2025
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