Black Olive Health Care Clinic

LBN: Black Olive Health Care Clinic
Black Olive Health Care Clinic is an health care organization with primary practice located at 380 Oakland Park Ave , Columbus OH 43214-4124. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Black Olive Health Care Clinic can be contacted via phone (419) 295-8811, or through Brooks, Edeisha via phone (419) 295-8811.

Contact Information

Primary practice address
380 Oakland Park Ave Columbus OH 43214-4124
Phone: (419) 295-8811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Edeisha FNP-C
Phone: (419) 295-8811

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1316695380
LBN Legal business name Black Olive Health Care Clinic
DBA Doing business as
Authorized official Brooks, Edeisha FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2022
Last updated Apr 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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