FIVE POINTS RECOVERY LLC NPI 1538826730

NPI Information

NPI: 1538826730
Provider Name: FIVE POINTS RECOVERY LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D2244032

Address:
2575 W BROAD ST STE 6
COLUMBUS, OH
ZIP 43204
Phone: (614) 809-6161
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FIVE POINTS RECOVERY LLC is a primary care nurse practitioner in Columbus, OH. FIVE POINTS RECOVERY LLC NPI is 1538826730. The provider is registered as an organization entity type.

The provider's business location address is:

2575 W BROAD ST STE 6
COLUMBUS, OH
ZIP 43204-333
Phone: (614) 809-6161
Fax: (614) 525-0077

The provider's authorized official is Letisha E Leach .
The authorized official title is Owner/ceo/cnp and has the following contact phone number (614) 809-6161.

The CLIA number assigned to this NPI record is 36D2244032 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.

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	261QP2300X	Clinic/Center	Primary Care			No
2	363LP2300X	Nurse Practitioner	Primary Care			Yes

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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