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 only one registered license in Dental Providers / Dentist, which is considered as 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: (877) 821-6402
Website:
Map and Directions
Authorized official contact:
Name: Fleming, David
Phone: (847) 267-8200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1235304775
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 Apr 25th, 2008
Last updated Oct 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235304775 NPPES
Ohio MEDICAID 2719062

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