Provider Demographics
NPI:1235627530
Name:HEALTH CONTINUUM, LLC
Entity Type:Organization
Organization Name:HEALTH CONTINUUM, LLC
Other - Org Name:DEERFIELD FAMILY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BOLSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:513-404-1900
Mailing Address - Street 1:3417 SNOOK RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-9570
Mailing Address - Country:US
Mailing Address - Phone:513-480-4139
Mailing Address - Fax:513-494-0688
Practice Address - Street 1:217 E FOREST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45065-1311
Practice Address - Country:US
Practice Address - Phone:513-404-1900
Practice Address - Fax:513-494-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0101775Medicaid