Healthserve Primary Care LLC
Family Medicine in Hilliard, OH. Organization (NPI-2).
NPI number1669896239
StatusActive
Last updated in NPPESJun 3, 2014
Details
- NPI
- 1669896239
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthserve Primary Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2014
- Last updated
- Jun 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | PT008883 | OH | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – |
Practice location
5263 Nike Station WayHilliard, OH 43026-7449
Phone 614-876-2100 · Fax 614-876-2120
Mailing address
2939 Kenny Rd Ste 200Columbus, OH 43221-2406
Phone 614-442-2431 · Fax 614-442-2426
Authorized official
Michael C Bourland
Cfo
6144422431
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