Organization
GRANT/RIVERSIDE MEDICAL CARE FOUNDATION
Active
Other names
TriCounty Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HEDGES (CREDENTIALING SPECIALIST)
(614) 544-6356
Entity
Organization
Contact information
Practice address
11925 LITHOPOLIS RD NW, TRICOUNTY FAMILY MEDICINE, CANAL WINCHESTER, OH 43110-9585
(614) 837-6363
(614) 837-0425
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
09/01/2006
Last updated
07/23/2008
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