Healthcare Provider Details

I. General information

NPI: 1982526141
Provider Name (Legal Business Name): IMAGINE COLUMBUS PRIMARY ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4656 HEATON RD
COLUMBUS OH
43229
US

IV. Provider business mailing address

4656 HEATON RD
COLUMBUS OH
43229
US

V. Phone/Fax

Practice location:
  • Phone: 614-433-7510
  • Fax: 614-433-7515
Mailing address:
  • Phone: 614-433-7510
  • Fax: 614-433-7515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH PARSHALL-FRY
Title or Position: SUPERINTENDENT
Credential:
Phone: 614-433-7510