Healthcare Provider Details
I. General information
NPI: 1134159833
Provider Name (Legal Business Name): OHIO HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5131 BEACON HILL RD STE. 340
COLUMBUS OH
43228-4442
US
IV. Provider business mailing address
PO BOX 951448
CLEVELAND OH
44193-1448
US
V. Phone/Fax
- Phone: 614-544-1006
- Fax: 614-544-1701
- Phone: 800-742-2368
- Fax: 937-291-2962
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHERIE
SHARP
Title or Position: OFFICE MANAGER
Credential:
Phone: 614-544-2119