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NPI Code Detail

MEDICARE: NETCARE CORPORATION

MEDICARE: NETCARE CORPORATION
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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1962736504
Entity Type Code : Organization
Provider Name (Legal Business Name) : NETCARE CORPORATION
Provider Business Mailing Address
First Line : 199 S CENTRAL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-1301
Country : US
Telephone Number : 614-274-9500
Fax Number : 614-279-0925
Provider Business Practice Location Address
First Line : 199 S CENTRAL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-1301
Country : US
Telephone Number : 614-274-9500
Fax Number : 614-279-0925
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MR. A KING STUMPP
Credential :
Telephone Number : 614-274-9500
Provider Enumeration Date : 09/30/2009
Last Update Date : 05/17/2012

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