| NPI | 1902088354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID L EVERHART Compliance Manager 614-645-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2019-10-19 |