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NPI Code Detail

MEDICARE: COLUMBUS COMMUNITY HEALTH REGIONAL SLEEP DISORDERS CENTER INC

MEDICARE: COLUMBUS COMMUNITY HEALTH REGIONAL SLEEP DISORDERS CENTER INC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1316989551
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS COMMUNITY HEALTH REGIONAL SLEEP DISORDERS CENTER INC
Provider Business Mailing Address
First Line : 100 W THIRD AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43201
Country : US
Telephone Number : 614-443-7800
Fax Number : 614-299-3406
Provider Business Practice Location Address
First Line : 1430 S HIGH STREET
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1045
Country : US
Telephone Number : 614-443-7800
Fax Number : 614-443-6960
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT W CLARK
Credential : MD
Telephone Number : 614-443-7800
Provider Enumeration Date : 06/12/2006
Last Update Date : 06/19/2008

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Directions to “COLUMBUS COMMUNITY HEALTH REGIONAL SLEEP DISORDERS CENTER INC ” Practice Location

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