Healthcare Provider Details

I. General information

NPI: 1255041190
Provider Name (Legal Business Name): HEART OF OHIO FAMILY HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 COOPER RD STE 420
WESTERVILLE OH
43081-8723
US

IV. Provider business mailing address

PO BOX 632127
CINCINNATI OH
45263-2127
US

V. Phone/Fax

Practice location:
  • Phone: 614-235-5555
  • Fax:
Mailing address:
  • Phone: 614-235-5555
  • Fax: 614-536-1994

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: YAMMAH MORGAN
Title or Position: COO
Credential:
Phone: 614-235-5555