Healthcare Provider Details

I. General information

NPI: 1578484473
Provider Name (Legal Business Name): OSU FAMILY PRACTICE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MORSE RD
COLUMBUS OH
43214-1833
US

IV. Provider business mailing address

1577 NEIL AVE
COLUMBUS OH
43210-1216
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-9994
  • Fax:
Mailing address:
  • Phone: 937-631-0638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DR. CANDY SUE RINEHART
Title or Position: CEO
Credential: DNP, APRN-CNP
Phone: 614-685-9994