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NPI Code Detail

MEDICARE: LINDEN MEDICAL CENTER, LLC

MEDICARE: LINDEN MEDICAL CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033637764
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDEN MEDICAL CENTER, LLC
Provider Business Mailing Address
First Line : 2339 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-1609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2339 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-1609
Country : US
Telephone Number : 614-268-8221
Fax Number :
Authorized Official
Title or Position : OWNER
Name : THOMPSON NWOSU
Credential :
Telephone Number : 614-937-4957
Provider Enumeration Date : 09/01/2017
Last Update Date : 06/11/2019

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Directions to “LINDEN MEDICAL CENTER, LLC ” Practice Location

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