Provider Demographics
NPI:1720606452
Name:MAX CENTER FOR HEALTH INC
Entity Type:Organization
Organization Name:MAX CENTER FOR HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-436-9070
Mailing Address - Street 1:240 N LIBERTY ST STE R
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7804
Mailing Address - Country:US
Mailing Address - Phone:614-436-9070
Mailing Address - Fax:
Practice Address - Street 1:240 N LIBERTY ST STE R
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7804
Practice Address - Country:US
Practice Address - Phone:614-436-9070
Practice Address - Fax:614-436-8803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty