National Church Residences Medical Home

LBN: National Church Residences Medical Home
National Church Residences Medical Home is an health care organization with primary practice located at 398 S Grant Ave , Columbus OH 43215-5549. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. National Church Residences Medical Home can be contacted via phone (614) 224-2988, or through Dimickele, Susan via phone (614) 421-2151.

Contact Information

Primary practice address
398 S Grant Ave Columbus OH 43215-5549
Phone: (614) 224-2988
Fax: (614) 716-0902
Website:
Map and Directions
Authorized official contact:
Name: Dimickele, Susan
Phone: (614) 421-2151

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X NP07477 Ohio

Profile Details

NPI number 1154692838
LBN Legal business name National Church Residences Medical Home
DBA Doing business as
Authorized official Dimickele, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2012
Last updated Feb 9th, 2022 - about 3 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 1154692838 NPPES
Ohio MEDICAID 0062203

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