CHALMERS P. WYLIE AMBULATORY CARE CENTER NPI 1548601818

NPI Information

NPI: 1548601818
Provider Name: CHALMERS P. WYLIE , AMBULATORY CARE CENTER
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

CLIA Number: 36D0988512

Address:
420 N JAMES RD
COLUMBUS, OH
ZIP 43219
Phone: (614) 257-5498
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CHALMERS P. WYLIE , AMBULATORY CARE CENTER is a va clinic center in Columbus, OH. CHALMERS P. WYLIE , AMBULATORY CARE CENTER NPI is 1548601818. The provider is registered as an organization entity type.

The provider's business location address is:

420 N JAMES RD
COLUMBUS, OH
ZIP 43219-834
Phone: (614) 257-5498
Fax: (614) 257-5205

The provider's authorized official is Annie N. Jones .
The authorized official title is Social Worker/mental Health and has the following contact phone number (614) 257-5498.

The CLIA number assigned to this NPI record is 36D0988512 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 10/31/2013.

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	261QV0200X	Clinic/Center	VA	S.0900647	OHIO	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	S. 0900647	OTHER	OHIO	STATE OF OHIO COUNSELOR AND SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD

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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