Jewish Family Services | |
1070 College Ave Columbus OH 43209-2374 | |
(614) 231-1890 | |
(614) 231-4978 |
Full Name | Jewish Family Services |
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Speciality | Clinic/Center |
Location | 1070 College Ave, Columbus, Ohio |
Authorized Official Name and Position | Karen Mozenter (CEO) |
Authorized Official Contact | 6145590186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jewish Family Services 1070 College Ave Columbus OH 43209-2374 Ph: (614) 231-1890 | Jewish Family Services 1070 College Ave Columbus OH 43209-2374 Ph: (614) 231-1890 |
NPI Number | 1902822091 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 10/02/2023 |
Certification Date | 10/02/2023 |
Medicare PECOS PAC ID | 4981668837 |
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Medicare Enrollment ID | O20041119000157 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902822091 | NPI | - | NPPES |
10494 | Medicaid | OH | |
2433487 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Rona Rosen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972690485 PECOS PAC ID: 8426108945 Enrollment ID: I20090604000081 |
Provider Name | Michele L Wilbur |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427154830 PECOS PAC ID: 4486932068 Enrollment ID: I20161102001336 |
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