6055 Cleveland Avenue

LBN: His Grace Medical Llc
6055 Cleveland Avenue is an health care organization with primary practice located at 6055 Cleveland Ave , Columbus OH 43231-2256. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. His Grace Medical Llc can be contacted via phone (614) 315-1836, or through Tolani, Feyisayo Oluwatosin via phone (614) 315-1836.

Contact Information

Primary practice address
6055 Cleveland Ave Columbus OH 43231-2256
Phone: (614) 315-1836
Fax: (888) 491-4030
Website:
Map and Directions
Authorized official contact:
Name: Tolani, Feyisayo Oluwatosin
Phone: (614) 315-1836

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 35084618 Ohio

Profile Details

NPI number 1346420668
LBN Legal business name His Grace Medical Llc
DBA Doing business as 6055 Cleveland Avenue
Authorized official Tolani, Feyisayo Oluwatosin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2007
Last updated Jan 22nd, 2014 - about 10 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 1346420668 NPPES
Ohio MEDICAID 2509020

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