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NPI Code Detail

MEDICARE: ROSEMONT CENTER

MEDICARE: ROSEMONT CENTER
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilityOH

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 : 1578528014
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSEMONT CENTER
Provider Business Mailing Address
First Line : 2440 DAWNLIGHT AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-1934
Country : US
Telephone Number : 614-471-2626
Fax Number : 614-478-3234
Provider Business Practice Location Address
First Line : 2440 DAWNLIGHT AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-1934
Country : US
Telephone Number : 614-471-2626
Fax Number : 614-478-3234
Authorized Official
Title or Position : FINANCE DIRECTOR
Name : YOLANDA M LEWIS
Credential :
Telephone Number : 614-416-8759
Provider Enumeration Date : 04/18/2006
Last Update Date : 08/22/2020

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Directions to “ROSEMONT CENTER ” Practice Location

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