| Primesource Healthcare Of Ohio, Inc. | |
|
4449 Easton Way Floor 2 Columbus OH 43219-6093 | |
| (800) 317-0711 | |
| (847) 267-9440 |
| Full Name | Primesource Healthcare Of Ohio, Inc. |
|---|---|
| Speciality | Podiatrist |
| Location | 4449 Easton Way, Columbus, Ohio |
| Authorized Official Name and Position | David Fleming (PRESIDENT & CEO) |
| Authorized Official Contact | 8472678200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primesource Healthcare Of Ohio, Inc. 2100 East Lake Cook Road Suite 1100 Buffalo Grove IL 60089-1815 Ph: (847) 267-8200 | Primesource Healthcare Of Ohio, Inc. 4449 Easton Way Floor 2 Columbus OH 43219-6093 Ph: (800) 317-0711 |
| NPI Number | 1033245824 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033245824 | NPI | - | NPPES |
| 2719062 | Medicaid | OH | |
| 2734554 | Medicaid | OH | |
| 000000541771 | Other | OH | ANTHEM |
| 2733019 | Medicaid | OH | |
| 2758350 | Medicaid | OH |
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