| Grant/riverside Medical Care Foundation, Inc | |
|
300 Polaris Pkwy Ste 2150 Westerville OH 43082-7808 | |
| (614) 588-0020 | |
| (614) 588-2031 |
| Full Name | Grant/riverside Medical Care Foundation, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Polaris Pkwy Ste 2150, Westerville, Ohio |
| Authorized Official Name and Position | Mark Wuestewald (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 6145446351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant/riverside Medical Care Foundation, Inc 5350 Frantz Rd Dublin OH 43016-4259 Ph: (614) 544-6356 | Grant/riverside Medical Care Foundation, Inc 300 Polaris Pkwy Ste 2150 Westerville OH 43082-7808 Ph: (614) 588-0020 |
| NPI Number | 1710285812 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710285812 | NPI | - | NPPES |
| 2083347 | Medicaid | OH |
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