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NPI Code Detail

MEDICARE: ESSEX HEALTHCARE CORPORATION

MEDICARE: ESSEX HEALTHCARE CORPORATION
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
1314000000XSkilled Nursing Facility1696NOH

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 : 1255432761
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSEX HEALTHCARE CORPORATION
Provider Business Mailing Address
First Line : 1 EASTON OVAL
Second Line : SUITE 300
City : COLUMBUS
State : OH
Zip : 43219-6061
Country : US
Telephone Number : 614-416-0600
Fax Number :
Provider Business Practice Location Address
First Line : 2317 E HOME RD
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45503-2520
Country : US
Telephone Number : 937-399-9217
Fax Number :
Authorized Official
Title or Position : CFO
Name : KEITH JAMES YODER
Credential :
Telephone Number : 614-416-2662
Provider Enumeration Date : 09/26/2006
Last Update Date : 08/22/2020

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Directions to “ESSEX HEALTHCARE CORPORATION ” Practice Location

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