Provider Demographics
NPI:1619280062
Name:THE OHIO STATE UNIVERSITY MEDICAL CENTER
Entity Type:Organization
Organization Name:THE OHIO STATE UNIVERSITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NP SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:RASEY
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:614-293-2963
Mailing Address - Street 1:452 W 10TH AVE
Mailing Address - Street 2:ROSS HEART HOSPITAL 2-027
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:614-293-6873
Mailing Address - Fax:614-293-9261
Practice Address - Street 1:452 W 10TH AVE
Practice Address - Street 2:ROSS HEART HOSPITAL 2-027
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-6873
Practice Address - Fax:614-293-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNS06146282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital