Provider Demographics
NPI:1083678809
Name:NATIVE AMERICAN INDIAN CENTER OF CENTRAL OHIO
Entity Type:Organization
Organization Name:NATIVE AMERICAN INDIAN CENTER OF CENTRAL OHIO
Other - Org Name:NAICCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-443-6120
Mailing Address - Street 1:PO BOX 7705
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-0705
Mailing Address - Country:US
Mailing Address - Phone:614-443-6120
Mailing Address - Fax:614-443-2651
Practice Address - Street 1:67 E INNIS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1869
Practice Address - Country:US
Practice Address - Phone:614-443-6120
Practice Address - Fax:614-443-2651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable