Primesource Healthcare Of Ohio, Inc.

LBN: Primesource Healthcare Of Ohio, Inc.
Primesource Healthcare Of Ohio, Inc. is an health care organization with primary practice located at 4449 Easton Way Floor 2, Columbus OH 43219-6093. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Eye and Vision Services Providers / Optometrist, Podiatric Medicine & Surgery Service Providers / Podiatrist, Speech, Language and Hearing Service Providers / Audiologist. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Primesource Healthcare Of Ohio, Inc. can be contacted via phone (800) 317-0711, or through Fleming, David via phone (847) 267-8200.

Contact Information

Primary practice address
4449 Easton Way Floor 2 Columbus OH 43219-6093
Phone: (800) 317-0711
Fax: (847) 267-9440
Website:
Map and Directions
Authorized official contact:
Name: Fleming, David
Phone: (847) 267-8200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Eye and Vision Services Providers / Optometrist 152W00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1033245824
LBN Legal business name Primesource Healthcare Of Ohio, Inc.
DBA Doing business as
Authorized official Fleming, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Oct 11th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033245824 NPPES
Ohio MEDICAID 2719062
Ohio MEDICAID 2734554
Ohio Other 000000541771
Ohio MEDICAID 2733019
Ohio MEDICAID 2758350

Popular Providers