| Equitas Health, Inc | |
|
750 E Long St Ste 3000 Columbus OH 43203 | |
| (614) 340-6700 | |
| (614) 987-5232 |
| Full Name | Equitas Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 E Long St Ste 3000, Columbus, Ohio |
| Authorized Official Name and Position | Lashonda Bond (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 6143406717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equitas Health, Inc 7575 Huntington Park Dr Ste 200 Columbus OH 43235-5618 Ph: () - | Equitas Health, Inc 750 E Long St Ste 3000 Columbus OH 43203 Ph: (614) 340-6700 |
| NPI Number | 1972097707 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 06/15/2018 |
| Medicare PECOS PAC ID | 2769638154 |
|---|---|
| Medicare Enrollment ID | O20180927002139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972097707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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