MEDICARE: NATIVE AMERICAN INDIAN CENTER OF CENTRAL 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	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1083678809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIVE AMERICAN INDIAN CENTER OF CENTRAL OHIO

Provider Business Mailing Address
First Line	:	PO BOX 7705
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-0705
Country	:	US
Telephone Number	:	614-443-6120
Fax Number	:	614-443-2651

Provider Business Practice Location Address
First Line	:	67 E INNIS AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-1869
Country	:	US
Telephone Number	:	614-443-6120
Fax Number	:	614-443-2651

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. CAROL L WELSH
Credential	:
Telephone Number	:	614-443-6120

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	08/22/2020

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