| Accord Behavioral Care Llc | |
|
4589 Kenny Rd Ste E Columbus OH 43220-2770 | |
| (614) 859-2288 | |
| (614) 750-1515 |
| Full Name | Accord Behavioral Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4589 Kenny Rd Ste E, Columbus, Ohio |
| Authorized Official Name and Position | Amanda Irene Rush (SOLE MEMBER) |
| Authorized Official Contact | 6148592288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accord Behavioral Care Llc 4589 Kenny Rd Ste E Columbus OH 43220-2770 Ph: (614) 859-2288 | Accord Behavioral Care Llc 4589 Kenny Rd Ste E Columbus OH 43220-2770 Ph: (614) 859-2288 |
| NPI Number | 1558885335 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4284908559 |
|---|---|
| Medicare Enrollment ID | O20170926000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558885335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | NP10262 (Ohio) | Primary |
| Provider Name | Amanda I Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356591952 PECOS PAC ID: 0143398586 Enrollment ID: I20081013000011 |
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