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NPI Code Detail

MEDICARE: WEXNER HERITAGE VILLAGE

MEDICARE: WEXNER HERITAGE VILLAGE
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 Facility0967NHOH

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 : 1932197704
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEXNER HERITAGE VILLAGE
Provider Business Mailing Address
First Line : 1151 COLLEGE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-2827
Country : US
Telephone Number : 614-231-4900
Fax Number : 614-338-2399
Provider Business Practice Location Address
First Line : 1151 COLLEGE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-2827
Country : US
Telephone Number : 614-231-4900
Fax Number : 614-384-2278
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. DAVID ROSEN
Credential : LNHA
Telephone Number : 614-231-4900
Provider Enumeration Date : 10/06/2005
Last Update Date : 05/17/2010

Similar Medicare Providers

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1689606899 — WEXNER HERITAGE VILLAGE
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1851518351 — JENNIFER HIRSH M.D.
Practice Location Address:
1151 COLLEGE AVE , ZUSMAN HOSPICE AT WEXNER HERITAGE VILLAGE
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1912113770 — DR. THERESA BRUNO CALIMLIM M.D.
Practice Location Address:
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1063615607 — MRS. HOLLY LYNN BOWMAN MPT
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Directions to “WEXNER HERITAGE VILLAGE ” Practice Location

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