Healthcare Provider Details
I. General information
NPI: 1326228859
Provider Name (Legal Business Name): LINDEN MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2007
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2339 CLEVELAND AVE
COLUMBUS OH
43211-1609
US
IV. Provider business mailing address
2339 CLEVELAND AVE
COLUMBUS OH
43211-1609
US
V. Phone/Fax
- Phone: 614-268-8221
- Fax:
- Phone: 614-268-8221
- Fax: 614-263-1891
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
LLOYD
WASHINGTON
Title or Position: PHYSICIAN
Credential: M.D
Phone: 614-268-8221