WHITEHALL MEDICAL CENTER INC NPI 1487795795

NPI Information

WHITEHALL MEDICAL CENTER INC is a general practice in Columbus, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WHITEHALL MEDICAL CENTER INC NPI is 1487795795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4254 EAST MAIN STREET
COLUMBUS, OH
ZIP 43213
Phone: (614) 235-9944
Fax: (614) 235-9344

The provider's authorized official is Elmer F Diltz .
The authorized official title is Owner and has the following contact phone number (614) 235-9944.

The CLIA number assigned to this NPI record is 36D0329299 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 12/6/2012.

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:

Other Identifiers

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

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