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NPI Code Detail

MEDICARE: COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.

MEDICARE: COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
236D0329161OTHEROHCLIA

General Provider Information

NPI Number : 1881756526
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 2780 AIRPORT DR STE 100
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-2289
Country : US
Telephone Number : 614-859-1906
Fax Number : 614-645-5517
Provider Business Practice Location Address
First Line : 1500 E 17TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1002
Country : US
Telephone Number : 614-645-2700
Fax Number : 614-645-2727
Authorized Official
Title or Position : CEO
Name : CHARLETA B TAVARES
Credential :
Telephone Number : 614-859-1906
Provider Enumeration Date : 12/15/2006
Last Update Date : 01/26/2024

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Directions to “COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. ” Practice Location

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