| Equitas Health, Inc | |
|
1222 S Patterson Blvd Ste 230 Dayton OH 45402-2643 | |
| (937) 853-3650 | |
| (937) 853-4367 |
| Full Name | Equitas Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1222 S Patterson Blvd Ste 230, Dayton, Ohio |
| Authorized Official Name and Position | Mareva Page (CFO) |
| Authorized Official Contact | 6145720877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equitas Health, Inc 1033 N High St Columbus OH 43201-2409 Ph: (937) 853-3650 | Equitas Health, Inc 1222 S Patterson Blvd Ste 230 Dayton OH 45402-2643 Ph: (937) 853-3650 |
| NPI Number | 1255846515 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 2769638154 |
|---|---|
| Medicare Enrollment ID | O20180329001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255846515 | NPI | - | NPPES |
| 279161 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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