Organization
HAVENS URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD K OPPONG DO (OWNER/PHYSICIAN)
(614) 736-5152
Entity
Organization
Contact information
Practice address
1582 WAGGONER RD, BLACKLICK, OH 43004
(614) 864-1313
(614) 864-1315
Mailing address
1582 WAGGONER RD, BLACKLICK, OH 43004
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000708557
ANTHEM BC BS
OH
Enumeration date
03/08/2011
Last updated
06/04/2013
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