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NPI Code Detail

MEDICARE: VIAQUEST HEALTHCARE CENTRAL

MEDICARE: VIAQUEST HEALTHCARE CENTRAL
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
1310500000XMental Illness Intermediate Care Facility

General Provider Information

NPI Number : 1295428548
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIAQUEST HEALTHCARE CENTRAL
Provider Business Mailing Address
First Line : 525 METRO PL N STE 300
Second Line :
City : DUBLIN
State : OH
Zip : 43017-5320
Country : US
Telephone Number : 614-339-0814
Fax Number :
Provider Business Practice Location Address
First Line : 860 WOODVILLE RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-2167
Country : US
Telephone Number : 614-295-3086
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : NANCY HOUSMAN
Credential :
Telephone Number : 614-339-0814
Provider Enumeration Date : 06/01/2023
Last Update Date : 07/07/2023

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Directions to “VIAQUEST HEALTHCARE CENTRAL ” Practice Location

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