| Springway Medical And Addiction Treatment Center | |
|
4770 Indianola Ave Ste 201 Columbus OH 43214-1876 | |
| (614) 725-6035 | |
| (614) 987-6108 |
| Full Name | Springway Medical And Addiction Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4770 Indianola Ave Ste 201, Columbus, Ohio |
| Authorized Official Name and Position | Akwasi Agyemang (OWNER) |
| Authorized Official Contact | 6147256035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springway Medical And Addiction Treatment Center 4770 Indianola Ave Ste 201 Columbus OH 43214-1876 Ph: (614) 725-6035 | Springway Medical And Addiction Treatment Center 4770 Indianola Ave Ste 201 Columbus OH 43214-1876 Ph: (614) 725-6035 |
| NPI Number | 1588285712 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 04/04/2025 |
| Certification Date | 04/04/2025 |
| Medicare PECOS PAC ID | 3577984988 |
|---|---|
| Medicare Enrollment ID | O20200610001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588285712 | NPI | - | NPPES |
| 0312220 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Akwasi Agyemang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407203482 PECOS PAC ID: 8022357946 Enrollment ID: I20190311001901 |
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