Organization
MOUNT CARMEL HEALTH PROVIDERS INC
Active
Other names
Geratric Physician Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY MOYER (IMPLEMENTATION SPECIALIST)
(614) 546-4672
Entity
Organization
Contact information
Practice address
6150 EAST BROAD STREET, COLUMBUS, OH 43213
(614) 546-4345
(614) 546-4427
Mailing address
PO BOX 951603, CLEVELAND, OH 44193-0018
(614) 546-4400
(614) 546-4441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26369649
—
OH
Enumeration date
10/07/2008
Last updated
10/07/2008
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