| Vineyard Cooper Rd Health Center | |
|
6000 Cooper Rd Westerville OH 43081-8984 | |
| (614) 274-1455 | |
| (614) 274-1433 |
| Full Name | Vineyard Cooper Rd Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6000 Cooper Rd, Westerville, Ohio |
| Authorized Official Name and Position | Clifford Osborne (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6142741544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Cooper Rd Health Center 1160 W Broad St Columbus OH 43222-1317 Ph: (614) 274-1455 | Vineyard Cooper Rd Health Center 6000 Cooper Rd Westerville OH 43081-8984 Ph: (614) 274-1455 |
| NPI Number | 1962823708 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 03/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962823708 | NPI | - | NPPES |
| 0455614 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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