| NPI | 1043891153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON JOHNS-WILLIAMS Billing Director 614-274-1455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-01-31 |