COLUMBUS FAMILY CARE CENTER NPI 1285391698

NPI Information

NPI: 1285391698
Provider Name: COLUMBUS FAMILY CARE CENTER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 36D2244746

Address:
2800 W BROAD ST
COLUMBUS, OH
ZIP 43204
Phone: (614) 274-4171
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COLUMBUS FAMILY CARE CENTER is a family nurse practitioner in Columbus, OH. COLUMBUS FAMILY CARE CENTER NPI is 1285391698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 W BROAD ST
COLUMBUS, OH
ZIP 43204-654
Phone: (614) 274-4171

The provider's authorized official is Jacobina Asunsuley Adamu .
The authorized official title is Ceo and has the following contact phone number (614) 787-8992.

The CLIA number assigned to this NPI record is 36D2244746 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 2/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0449809	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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