| Lutheran Social Services Of Central Ohio | |
|
2225 N. Cassady Avenue Columbus OH 43219-4321 | |
| (614) 224-7200 | |
| Not Available |
| Full Name | Lutheran Social Services Of Central Ohio |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2225 N. Cassady Avenue, Columbus, Ohio |
| Authorized Official Name and Position | Phil Helser (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6142285200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Central Ohio 245 N Grant Ave Columbus OH 43215-2641 Ph: (614) 224-6617 | Lutheran Social Services Of Central Ohio 2225 N. Cassady Avenue Columbus OH 43219-4321 Ph: (614) 224-7200 |
| NPI Number | 1437621331 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 12/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437621331 | NPI | - | NPPES |
| 0211771 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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