| Cole Center For Healing, Inc | |
|
7760 University Ct Ste C West Chester OH 45069-3371 | |
| (513) 563-4321 | |
| (513) 847-1017 |
| Full Name | Cole Center For Healing, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7760 University Ct, West Chester, Ohio |
| Authorized Official Name and Position | Theodore J Cole (PHYSICIAN OWNER) |
| Authorized Official Contact | 5135634321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Center For Healing, Inc 7760 University Ct Suite C West Chester OH 45069-3371 Ph: (513) 563-4321 | Cole Center For Healing, Inc 7760 University Ct Ste C West Chester OH 45069-3371 Ph: (513) 563-4321 |
| NPI Number | 1386642080 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 04/11/2012 |
| Medicare PECOS PAC ID | 3274566526 |
|---|---|
| Medicare Enrollment ID | O20050916000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386642080 | NPI | - | NPPES |
| 000000017595 | Other | OH | ANTHEM |
| 080150714 | Other | OH | RAILROAD MEDICARE |
| 1S37037 | Other | OH | UMWA HEALTH AND RETIREMEN |
| 0437505 | Other | OH | HUMANA/CHOICE CARE |
| OI04689 | Other | OH | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34004375C (Ohio) | Primary |
| Provider Name | Theodore J Cole |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063694966 PECOS PAC ID: 3678734092 Enrollment ID: I20120411000857 |
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