Ridgeline Recovery LLC
Family Medicine in Columbus, OH. Organization (NPI-2).
NPI number1104710193
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1104710193
- Entity type
- Organization (NPI-2)
- Legal business name
- Ridgeline Recovery LLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
491 Georgesville RdColumbus, OH 43228-2420
Phone 614-618-5000 · Fax 614-618-9586
Mailing address
491 Georgesville RdColumbus, OH 43228-2420
Phone 614-618-5000 · Fax 614-618-9586
Authorized official
Brian Dean
Admin
6147625206
Is something wrong?
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