| Healthland Family Practice | |
|
2339 Cleveland Ave Columbus OH 43211-1609 | |
| (614) 268-8221 | |
| Not Available |
| Full Name | Healthland Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 2339 Cleveland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Netsai Gilbert (PRACTICE OWNER) |
| Authorized Official Contact | 6145962988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthland Family Practice 2339 Cleveland Ave Columbus OH 43211-1609 Ph: (614) 268-8221 | Healthland Family Practice 2339 Cleveland Ave Columbus OH 43211-1609 Ph: (614) 268-8221 |
| NPI Number | 1689289845 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 04/02/2021 |
| Medicare PECOS PAC ID | 7719307529 |
|---|---|
| Medicare Enrollment ID | O20201016001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689289845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Enestine Tasong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952642134 PECOS PAC ID: 4183956246 Enrollment ID: I20191023001724 |
| Provider Name | Mercy Mercy Kanyongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174174627 PECOS PAC ID: 9436579240 Enrollment ID: I20201016001270 |
| Provider Name | Brian S Kapfunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711711 PECOS PAC ID: 5092078345 Enrollment ID: I20220317000121 |
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