| Ohio Rehab & Diagnostic Center, Inc | |
|
2405 N Columbus St Suite 140 Lancaster OH 43130-8185 | |
| (740) 687-5025 | |
| (740) 687-4570 |
| Full Name | Ohio Rehab & Diagnostic Center, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2405 N Columbus St, Lancaster, Ohio |
| Authorized Official Name and Position | Anthony Edward Kordack (PRESIDENT & CEO) |
| Authorized Official Contact | 7406870036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Rehab & Diagnostic Center, Inc 2405 N Columbus St Suite 140 Lancaster OH 43130-8185 Ph: (740) 687-5025 | Ohio Rehab & Diagnostic Center, Inc 2405 N Columbus St Suite 140 Lancaster OH 43130-8185 Ph: (740) 687-5025 |
| NPI Number | 1104994771 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104994771 | NPI | - | NPPES |
| 0260113 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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