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NPI Code Detail

MEDICARE: COMMUNITY OHIO

MEDICARE: COMMUNITY OHIO
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3171000000XMilitary Health Care Provider
4171M00000XCase Manager/Care Coordinator
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
6261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1952189433
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY OHIO
Provider Business Mailing Address
First Line : 2321 TAYLOR PARK DR # 1036
Second Line :
City : REYNOLDSBURG
State : OH
Zip : 43068-8052
Country : US
Telephone Number : 614-500-4150
Fax Number : 877-540-0067
Provider Business Practice Location Address
First Line : 1730 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1862
Country : US
Telephone Number : 614-500-4150
Fax Number : 877-540-0067
Authorized Official
Title or Position : REVENUE CYCLE MANAGER
Name : MRS. ROSALINDA LOGAN-PETERS
Credential : CPPM,COBGC
Telephone Number : 731-935-9267
Provider Enumeration Date : 09/18/2023
Last Update Date : 09/18/2023

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Directions to “COMMUNITY OHIO ” Practice Location

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