Healthcare Provider Details

I. General information

NPI: 1669530846
Provider Name (Legal Business Name): OHIO HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 OLD VILLAGE RD STE. 201
COLUMBUS OH
43228-1583
US

IV. Provider business mailing address

PO BOX 951448
CLEVELAND OH
44193-1448
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-1976
  • Fax:
Mailing address:
  • Phone: 800-742-2368
  • Fax: 937-291-2962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY MCCREIGHT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 614-544-1989