Healthcare Provider Details

I. General information

NPI: 1134123979
Provider Name (Legal Business Name): SBH MEDICAL, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7654 CROSSWOODS DR
COLUMBUS OH
43235-4621
US

IV. Provider business mailing address

7654 CROSSWOODS DR
COLUMBUS OH
43235-4621
US

V. Phone/Fax

Practice location:
  • Phone: 614-847-6007
  • Fax: 614-847-6015
Mailing address:
  • Phone: 614-847-6007
  • Fax: 614-847-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number02-1260150
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number02-1260150
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number02-1260150
License Number StateOH

VIII. Authorized Official

Name: JASON MORRISON
Title or Position: GENERAL MANAGER
Credential:
Phone: 614-847-6007