| Capital Park Family Health Center | |
|
2365 Innis Rd Columbus OH 43224-3730 | |
| (614) 416-4325 | |
| (614) 416-4320 |
| Full Name | Capital Park Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2365 Innis Rd, Columbus, Ohio |
| Authorized Official Name and Position | Lashonda Bond (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 6142355555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Park Family Health Center Po Box 632127 Cincinnati OH 45263-2127 Ph: (614) 235-5555 | Capital Park Family Health Center 2365 Innis Rd Columbus OH 43224-3730 Ph: (614) 416-4325 |
| NPI Number | 1275714289 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 7416039839 |
|---|---|
| Medicare Enrollment ID | O20080124000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275714289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Ohio) | Primary |
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