Provider Demographics
NPI:1437621331
Name:LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
Entity Type:Organization
Organization Name:LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HELSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-228-5200
Mailing Address - Street 1:245 N GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-2641
Mailing Address - Country:US
Mailing Address - Phone:614-224-6617
Mailing Address - Fax:614-221-0936
Practice Address - Street 1:2225 N. CASSADY AVENUE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-4321
Practice Address - Country:US
Practice Address - Phone:614-224-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0211771Medicaid