Fourth And Diamond Medical Clinic

LBN: Columbus Physician Resources Inc
Fourth And Diamond Medical Clinic is an health care organization with primary practice located at 380 Cline Ave Ste 1 , Mansfield OH 44907-1056. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Columbus Physician Resources Inc can be contacted via phone (419) 571-5290, or through Ritenour, Paul via phone (419) 571-5290.

Contact Information

Primary practice address
380 Cline Ave Ste 1 Mansfield OH 44907-1056
Phone: (419) 571-5290
Fax: (419) 522-0998
Website:
Map and Directions
Authorized official contact:
Name: Ritenour, Paul Doctor of Osteopathy (DO)
Phone: (419) 571-5290

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1447378567
LBN Legal business name Columbus Physician Resources Inc
DBA Doing business as Fourth And Diamond Medical Clinic
Authorized official Ritenour, Paul Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Feb 10th, 2020 - about 6 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 1447378567 NPPES
Ohio MEDICAID 2075276
Ohio Other 000000122735

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