Provider Demographics
NPI:1033225552
Name:OHIOHEALTH CORPORATION
Entity Type:Organization
Organization Name:OHIOHEALTH CORPORATION
Other - Org Name:DOCTORS HOSPITAL FAMILY PRACTICE, OHIOHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-544-0101
Mailing Address - Street 1:2030 STRINGTOWN RD
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-3993
Mailing Address - Country:US
Mailing Address - Phone:614-544-0101
Mailing Address - Fax:614-544-0102
Practice Address - Street 1:2030 STRINGTOWN RD
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3993
Practice Address - Country:US
Practice Address - Phone:614-544-0101
Practice Address - Fax:614-544-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCB0331OtherRAILROAD MEDICARE
OH9364211OtherMEDICARE
OH2201834Medicaid