Organization
WESTERVILLE PHYSICIAN INC.
Active
Organization
WESTERVILLE PHYSICIAN INC.
Active
Other names
Capital Park Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY K WILLIS (INTERIM FINANCE SUPERVISOR)
(614) 546-4232
Entity
Organization
Contact information
Practice address
2150 AGLER RD, COLUMBUS, OH 43224-4523
(614) 416-4325
(614) 546-4243
Mailing address
2150 AGLER RD, COLUMBUS, OH 43224-4523
(614) 416-4325
(614) 546-4243
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113230
OTHER
OH
Enumeration date
03/16/2007
Last updated
01/17/2008
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