Provider Demographics
NPI:1801375563
Name:AMERICAN PRIMARY HEALTHCARE, LLC
Entity Type:Organization
Organization Name:AMERICAN PRIMARY HEALTHCARE, LLC
Other - Org Name:AMERICAN PRIMARY HEALTHCARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-446-6060
Mailing Address - Street 1:800 CROSS POINTE RD STE K
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6688
Mailing Address - Country:US
Mailing Address - Phone:614-446-6060
Mailing Address - Fax:
Practice Address - Street 1:800 CROSS POINTE RD STE K
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6688
Practice Address - Country:US
Practice Address - Phone:614-446-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health