Canyon Medical Center Inc

LBN: Canyon Medical Center Inc
Canyon Medical Center Inc is an health care organization with primary practice located at 5969 East Broad Street 2Nd Floor, Columbus OH 43213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Canyon Medical Center Inc can be contacted via phone (614) 864-6010, or through Canowitz, Stephen M via phone (614) 864-6010.

Contact Information

Primary practice address
5969 East Broad Street 2Nd Floor Columbus OH 43213
Fax: (614) 864-0306
Website:
Authorized official contact:
Name: Canowitz, Stephen M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1073558326
LBN Legal business name Canyon Medical Center Inc
DBA Doing business as
Authorized official Canowitz, Stephen M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073558326 NPPES
Ohio MEDICAID 0454119

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