Organization
MID-OHIO FAMILY PRACTICE ASSOCIATES LLC
Active
Other names
FAMILY HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
THOMPSON NWOSU (OWNER)
(614) 330-9798
Entity
Organization
Contact information
Practice address
2800 W BROAD ST, COLUMBUS, OH 43204-2654
(614) 274-4171
Mailing address
4889 AUGUSTA WOODS CT, WESTERVILLE, OH 43082-9180
(614) 937-4957
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144259
MEDICAID
—
Enumeration date
08/25/2017
Last updated
07/06/2020
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