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2511 W Schrock Rd Westerville OH 43081-8956 | |
(614) 209-9340 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2511 W Schrock Rd, Westerville, Ohio |
Authorized Official Name and Position | Mabel Aggoe-opoku (CEO) |
Authorized Official Contact | 6142099340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2511 W Schrock Rd Westerville OH 43081-8956 Ph: (614) 209-9340 | 2511 W Schrock Rd Westerville OH 43081-8956 Ph: (614) 209-9340 |
NPI Number | 1518588185 |
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Provider Enumeration Date | 05/05/2020 |
Last Update Date | 01/27/2022 |
Medicare PECOS PAC ID | 1052733706 |
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Medicare Enrollment ID | O20200625001031 |
Identifier | Type | State | Issuer |
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1518588185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Mabel Aggoe-opoku |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477877645 PECOS PAC ID: 1254692411 Enrollment ID: I20180302001980 |
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