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OHIO REHAB & DIAGNOSTIC CENTER INC NPI 1104994771


NPI Information

NPI: 1104994771
Provider Name: OHIO REHAB & DIAGNOSTIC CENTER, INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2405 N COLUMBUS ST
SUITE 140
LANCASTER, OH
ZIP 43130
Phone: (740) 687-5025
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OHIO REHAB & DIAGNOSTIC CENTER, INC is a clinic center in Lancaster, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OHIO REHAB & DIAGNOSTIC CENTER, INC NPI is 1104994771. The provider is registered as an organization entity type.

The provider's business location address is:

2405 N COLUMBUS ST
SUITE 140
LANCASTER, OH
ZIP 43130-185
Phone: (740) 687-5025
Fax: (740) 687-4570

The provider's authorized official is Anthony Edward Kordack .
The authorized official title is President & Ceo and has the following contact phone number (740) 687-0036.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10260113MEDICAIDOHIO

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: 4/28/2024

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