Provider Demographics
NPI:1275981185
Name:HEALTH ONE INC.
Entity Type:Organization
Organization Name:HEALTH ONE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOMGARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-947-1320
Mailing Address - Street 1:PO BOX 638
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-0638
Mailing Address - Country:US
Mailing Address - Phone:614-947-1320
Mailing Address - Fax:614-594-3649
Practice Address - Street 1:4079 GANTZ RD STE B
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-4913
Practice Address - Country:US
Practice Address - Phone:614-875-3444
Practice Address - Fax:614-947-1324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0190773Medicaid