| Ohio Health Center Inc | |
|
1000 E Broad St Columbus OH 43205-1381 | |
| (614) 252-3636 | |
| (614) 251-4061 |
| Full Name | Ohio Health Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 E Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Ralph Newman (PRESIDENT) |
| Authorized Official Contact | 6142523636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Health Center Inc 1000 E Broad St Columbus OH 43205-1381 Ph: (614) 252-3636 | Ohio Health Center Inc 1000 E Broad St Columbus OH 43205-1381 Ph: (614) 252-3636 |
| NPI Number | 1811101579 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 6002903820 |
|---|---|
| Medicare Enrollment ID | O20071025000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811101579 | NPI | - | NPPES |
| 0939775 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-2194-N (Kansas) | Primary |
| Provider Name | Ralph W Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588711410 PECOS PAC ID: 0749377562 Enrollment ID: I20071025000606 |
| Provider Name | Joseph M Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821534900 PECOS PAC ID: 4688958820 Enrollment ID: I20170307000874 |
| Provider Name | David L Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811466014 PECOS PAC ID: 0244575579 Enrollment ID: I20181214001304 |
| Provider Name | Caroline Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366275448 PECOS PAC ID: 7911432620 Enrollment ID: I20241118003700 |
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