MEDICARE: THE ARC OF ERIE COUNTY

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1538841911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF ERIE COUNTY

Provider Business Mailing Address
First Line	:	1335 DUBLIN RD STE 104D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-7084
Country	:	US
Telephone Number	:	614-487-4720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1335 DUBLIN RD STE 104D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-7084
Country	:	US
Telephone Number	:	614-487-4720
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JOSHUA DAVID COOK
Credential	:
Telephone Number	:	614-487-4720

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	08/03/2023

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Directions to “THE ARC OF ERIE COUNTY ” Practice Location

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