MEDICARE: SLEEP OHIO

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
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1043211170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP OHIO

Provider Business Mailing Address
First Line	:	7630 RIVERS EDGE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1337
Country	:	US
Telephone Number	:	614-433-0614
Fax Number	:	866-291-8990

Provider Business Practice Location Address
First Line	:	1001 BELLEFONTAINE AVE
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-2800
Country	:	US
Telephone Number	:	419-998-4478
Fax Number	:	419-998-4479

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CRAIG PICKERILL
Credential	:	RPSGT
Telephone Number	:	614-433-0614

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/22/2020

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Directions to “SLEEP OHIO ” Practice Location

Language	Start Address	Practice Location

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