Max Sports

LBN: Grant/Riverside Medical Care Foundation, Inc
Max Sports is an health care organization with primary practice located at 3705 Olentangy River Rd Ste 260, Columbus OH 43214-3467. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Grant/Riverside Medical Care Foundation, Inc can be contacted via phone (614) 586-1220, or through Hedges, Tracy A via phone (614) 544-6356.

Contact Information

Primary practice address
3705 Olentangy River Rd Ste 260 Columbus OH 43214-3467
Phone: (614) 586-1220
Fax: (614) 586-1237
Website:
Map and Directions
Authorized official contact:
Name: Hedges, Tracy A
Phone: (614) 544-6356

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1093950560
LBN Legal business name Grant/Riverside Medical Care Foundation, Inc
DBA Doing business as Max Sports
Authorized official Hedges, Tracy A
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 16 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 1093950560 NPPES
Ohio MEDICAID PENDING

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