MEDICARE: HEART OF OHIO FAMILY HEALTH CENTERS

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	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629669445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART OF OHIO FAMILY HEALTH CENTERS

Provider Business Mailing Address
First Line	:	5000 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2440
Country	:	US
Telephone Number	:	614-235-5555
Fax Number	:	614-536-1994

Provider Business Practice Location Address
First Line	:	3601 GENDER RD
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-9739
Country	:	US
Telephone Number	:	614-235-5555
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	YAMMAH MORGAN
Credential	:
Telephone Number	:	614-416-4325

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	10/31/2023

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Directions to “HEART OF OHIO FAMILY HEALTH CENTERS ” Practice Location

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