Healthcare Provider Details

I. General information

NPI: 1982668562
Provider Name (Legal Business Name): OHIO HOSPITAL FOR PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 GREENLAWN AVE
COLUMBUS OH
43223-2616
US

IV. Provider business mailing address

880 GREENLAWN AVE
COLUMBUS OH
43223-2616
US

V. Phone/Fax

Practice location:
  • Phone: 614-664-3757
  • Fax:
Mailing address:
  • Phone: 615-861-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number StateOH

VIII. Authorized Official

Name: BRIAN P FARLEY
Title or Position: VP AND SECRETARY
Credential:
Phone: 615-861-6000