MEDICARE: WORKIT HEALTH (OH) LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1649894262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKIT HEALTH (OH) LLC

Provider Business Mailing Address
First Line	:	PO BOX 96359
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85072-6359
Country	:	US
Telephone Number	:	855-408-1143
Fax Number	:

Provider Business Practice Location Address
First Line	:	6855 SPRING VALLEY DR STE 110
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9374
Country	:	US
Telephone Number	:	216-438-0283
Fax Number	:	855-716-4494

Authorized Official
Title or Position	:	SR. RCM MANAGER
Name	:	AUDRA FICKEN
Credential	:
Telephone Number	:	855-408-1143

Provider Enumeration Date	:	05/29/2020
Last Update Date	:	01/24/2026

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