Organization
CITY OF COLUMBUS - COLUMBUS HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA C. LONG M.D., M.P.H (HEALTH COMMISSIONER)
(614) 645-6447
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
261QD0000X
Dental Clinic/Center
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0616622
MOLINA
—
05
—
0616622
—
OH
01
—
XXXXXXXXX035
CARESOURCE
—
Enumeration date
03/03/2009
Last updated
03/03/2009
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