Provider Demographics
NPI:1376725846
Name:ARICOURT HEALTH LTD
Entity Type:Organization
Organization Name:ARICOURT HEALTH LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:OPPONG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-736-5152
Mailing Address - Street 1:PO BOX 30188
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-0188
Mailing Address - Country:US
Mailing Address - Phone:727-287-6300
Mailing Address - Fax:727-287-6306
Practice Address - Street 1:844 MINERVA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5045
Practice Address - Country:US
Practice Address - Phone:614-736-5152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.005401208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0886993Medicaid
OH9346411Medicare PIN