Healthcare Provider Details

I. General information

NPI: 1497934236
Provider Name (Legal Business Name): ESSEX HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 ADDISON RD
MASURY OH
44438-1204
US

IV. Provider business mailing address

1 EASTON OVAL SUITE 300
COLUMBUS OH
43219-6061
US

V. Phone/Fax

Practice location:
  • Phone: 330-448-2547
  • Fax:
Mailing address:
  • Phone: 614-416-0600
  • Fax: 614-416-0204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: KEITH YODER
Title or Position: CFO
Credential:
Phone: 614-416-0600