Provider Demographics
NPI:1851774194
Name:PROMED HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:PROMED HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:YARJAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-641-8273
Mailing Address - Street 1:2151 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3519
Mailing Address - Country:US
Mailing Address - Phone:614-641-8273
Mailing Address - Fax:614-662-1003
Practice Address - Street 1:2151 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 217
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3519
Practice Address - Country:US
Practice Address - Phone:614-641-8273
Practice Address - Fax:614-662-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health