| Union Star Health Center | |
|
773 S Walnut St Marysville OH 43040-1643 | |
| (614) 274-1455 | |
| (614) 272-2333 |
| Full Name | Union Star Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 773 S Walnut St, Marysville, Ohio |
| Authorized Official Name and Position | Dana S Vallangeon (CEO) |
| Authorized Official Contact | 6142741455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Star Health Center 1160 W Broad St Columbus OH 43222-1317 Ph: (614) 274-1455 | Union Star Health Center 773 S Walnut St Marysville OH 43040-1643 Ph: (614) 274-1455 |
| NPI Number | 1275957557 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 08/22/2014 |
| Medicare PECOS PAC ID | 5193794188 |
|---|---|
| Medicare Enrollment ID | O20160105000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275957557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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