| Health Center At Faith Mission | |
|
245 N Grant Ave Columbus OH 43215-2641 | |
| (614) 224-6617 | |
| Not Available |
| Full Name | Health Center At Faith Mission |
|---|---|
| Speciality | Clinic/Center |
| Location | 245 N Grant Ave, Columbus, Ohio |
| Authorized Official Name and Position | Philip Helser (CFO) |
| Authorized Official Contact | 6144295508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Center At Faith Mission 1105 Schrock Rd Ste 100 Columbus OH 43229-1165 Ph: () - | Health Center At Faith Mission 245 N Grant Ave Columbus OH 43215-2641 Ph: (614) 224-6617 |
| NPI Number | 1801317102 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 7911895974 |
|---|---|
| Medicare Enrollment ID | O20150720000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801317102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Alyssa Huddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750884573 PECOS PAC ID: 8628333259 Enrollment ID: I20180531000155 |
| Provider Name | Igor I Grechukha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609407154 PECOS PAC ID: 5294105359 Enrollment ID: I20230105002248 |
| Provider Name | Abigail Suzanne Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184146508 PECOS PAC ID: 7315309648 Enrollment ID: I20230817001995 |
| Provider Name | Gabrielle Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962082156 PECOS PAC ID: 0042673162 Enrollment ID: I20230822004149 |
| Provider Name | Samuel Mehling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235895509 PECOS PAC ID: 0547623233 Enrollment ID: I20230829000602 |
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