| Shaker Clinic, Llc | |
|
899 E Broad St Columbus OH 43205-1156 | |
| (614) 928-9400 | |
| (614) 928-9401 |
| Full Name | Shaker Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 899 E Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Christopher L Howard (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaker Clinic, Llc 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Shaker Clinic, Llc 899 E Broad St Columbus OH 43205-1156 Ph: (614) 928-9400 |
| NPI Number | 1568532620 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 09/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568532620 | NPI | - | NPPES |
| 2428868 | Medicaid | OH | |
| 9342121 | Other | OH | MEDICARE OTHER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0519 (Ohio) | Primary |
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