Provider Demographics
NPI:1528025657
Name:OSU HEALTH SYSTEM-HOSPITAL AT HOME
Entity Type:Organization
Organization Name:OSU HEALTH SYSTEM-HOSPITAL AT HOME
Other - Org Name:OHIO STATE UNIVERSITY-CAMBRIDGE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:HONSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-293-2229
Mailing Address - Street 1:700 ACKERMAN ROAD
Mailing Address - Street 2:SUITE 2120
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-685-4601
Mailing Address - Fax:614-366-3731
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:614-685-2705
Practice Address - Fax:614-685-5789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2613167Medicaid
OHH948780OtherMEDICARE