| The Ohio State University Total Health And Wellness At St. Vincent | |
|
1490 E Main St Columbus OH 43205-2140 | |
| (614) 685-9994 | |
| Not Available |
| Full Name | The Ohio State University Total Health And Wellness At St. Vincent |
|---|---|
| Speciality | Clinic/Center |
| Location | 1490 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Candy Sue Rinehart (CEO) |
| Authorized Official Contact | 6146859994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ohio State University Total Health And Wellness At St. Vincent 181 Taylor Ave Ste 1203 Columbus OH 43203-1779 Ph: (937) 631-0638 | The Ohio State University Total Health And Wellness At St. Vincent 1490 E Main St Columbus OH 43205-2140 Ph: (614) 685-9994 |
| NPI Number | 1568173193 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 10/27/2023 |
| Medicare PECOS PAC ID | 9032023874 |
|---|---|
| Medicare Enrollment ID | O20230321000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568173193 | NPI | - | NPPES |
| 0009398 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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