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NPI Code Detail

MEDICARE: THI OF OHIO AT COLUMBUS LLC

MEDICARE: THI OF OHIO AT COLUMBUS LLC
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
1314000000XSkilled Nursing Facility6289OH

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 : 1851337976
Entity Type Code : Organization
Provider Name (Legal Business Name) : THI OF OHIO AT COLUMBUS LLC
Provider Business Mailing Address
First Line : 930 RIDGEBROOK RD
Second Line :
City : SPARKS
State : MD
Zip : 21152-9390
Country : US
Telephone Number : 410-773-1000
Fax Number :
Provider Business Practice Location Address
First Line : 4301 CLIME RD N
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-3403
Country : US
Telephone Number : 614-276-4400
Fax Number :
Authorized Official
Title or Position : EVP
Name : MATTHEW BOX
Credential :
Telephone Number : 410-773-1000
Provider Enumeration Date : 06/20/2006
Last Update Date : 08/22/2020

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Directions to “THI OF OHIO AT COLUMBUS LLC ” Practice Location

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