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HEART OF OHIO FAMILY HEALTH CENTERS NPI 1578083234


NPI Information

NPI: 1578083234
Provider Name: HEART OF OHIO FAMILY HEALTH CENTERS

Doing Business As: HEART OF OHIO FAMILY HEALTH @ CANAL WINCHESTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 36D2221854

Address:
3601 GENDER RD
CANAL WINCHESTER, OH
ZIP 43110
Phone: (614) 235-5555
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HEART OF OHIO FAMILY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Canal Winchester, OH. HEART OF OHIO FAMILY HEALTH CENTERS NPI is 1578083234. The provider is registered as an organization entity type.
The provider Is Doing Business As Heart Of Ohio Family Health @ Canal Winchester.

The provider's business location address is:

3601 GENDER RD
CANAL WINCHESTER, OH
ZIP 43110-739
Phone: (614) 235-5555
Fax: (614) 536-1994

The provider's authorized official is Yammah Morgan .
The authorized official title is Chief Operating Officer and has the following contact phone number (614) 235-5555.

The CLIA number assigned to this NPI record is 36D2221854 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 10/31/2023.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)OHIOYes

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
12913066MEDICAIDOHIO
20265791MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.