AFFORDABLE CARE HEALTH CLINIC NPI 1801148549

NPI Information

NPI: 1801148549
Provider Name: AFFORDABLE CARE HEALTH CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 36D2044779

Address:
104 N STYGLER RD
GAHANNA, OH
ZIP 43230
Phone: (614) 475-2273
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AFFORDABLE CARE HEALTH CLINIC is a family nurse practitioner in Gahanna, OH. AFFORDABLE CARE HEALTH CLINIC NPI is 1801148549. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 N STYGLER RD
GAHANNA, OH
ZIP 43230-437
Phone: (614) 475-2273
Fax: (614) 475-4329

The provider's authorized official is Rebecca Shaw .
The authorized official title is President and has the following contact phone number (614) 475-2273.

The CLIA number assigned to this NPI record is 36D2044779 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 10/4/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family		OHIO	Yes

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

NPI Synchronization or Removal

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