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) 859-1906
Entity
Organization
Contact information
Practice address
1500 E 17TH AVE, COLUMBUS, OH 43219-1002
(614) 645-2700
(614) 645-2727
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
—
2161913
—
OH
01
—
36D0329161
CLIA
OH
Enumeration date
12/15/2006
Last updated
01/26/2024
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