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SPRINGWAY MEDICAL AND ADDICTION TREATMENT CENTER NPI 1588285712


NPI Information

NPI: 1588285712
Provider Name: SPRINGWAY MEDICAL AND ADDICTION TREATMENT CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 36D2186466

Address:
1969 E DUBLIN GRANVILLE RD
COLUMBUS, OH
ZIP 43229
Phone: (614) 725-6035
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SPRINGWAY MEDICAL AND ADDICTION TREATMENT CENTER is a clinic center in Columbus, 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). SPRINGWAY MEDICAL AND ADDICTION TREATMENT CENTER NPI is 1588285712. The provider is registered as an organization entity type.

The provider's business location address is:

1969 E DUBLIN GRANVILLE RD
COLUMBUS, OH
ZIP 43229-508
Phone: (614) 725-6035
Fax: (614) 987-6108

The provider's authorized official is Akwasi Agyemang .
The authorized official title is Owner and has the following contact phone number (614) 725-6035.

The CLIA number assigned to this NPI record is 36D2186466 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2020 and was last updated on 8/7/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261Q00000XClinic/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
10312220MEDICAIDOHIO

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.