| Capital Park Family Health Center | |
|
2150 Agler Rd Columbus OH 43224-4523 | |
| (614) 416-4325 | |
| (614) 546-4243 |
| Full Name | Capital Park Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2150 Agler Rd, Columbus, Ohio |
| Authorized Official Name and Position | Sandy K Willis (INTERIM FINANCE SUPERVISOR) |
| Authorized Official Contact | 6145464232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Park Family Health Center 2150 Agler Rd Columbus OH 43224-4523 Ph: (614) 416-4325 | Capital Park Family Health Center 2150 Agler Rd Columbus OH 43224-4523 Ph: (614) 416-4325 |
| NPI Number | 1730213950 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730213950 | NPI | - | NPPES |
| 0113230 | Other | OH | OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Ohio) | Primary |
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