Organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Active
Other names
PrimaryOne Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETA B TAVARES (CEO)
(614) 859-1946
Entity
Organization
Contact information
Practice address
1180 E MAIN ST, COLUMBUS, OH 43205-1902
(614) 645-5355
(614) 645-5546
Mailing address
2780 AIRPORT DR STE 100, COLUMBUS, OH 43219-2289
(614) 859-1906
(614) 645-5517
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051201
—
OH
01
—
36D0328918
CLIA
OH
01
—
DB8391
RAILROAD MEDICARE
OH
Enumeration date
10/23/2006
Last updated
01/26/2024
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