Provider Demographics
NPI:1891552121
Name:OUTREACH HEALTH SYSTEM CO.
Entity Type:Organization
Organization Name:OUTREACH HEALTH SYSTEM CO.
Other - Org Name:OUTREACH HEALTH SYSTEM CO.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROGER PIERRE
Authorized Official - Middle Name:FIETSOP
Authorized Official - Last Name:TANGKIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-805-6533
Mailing Address - Street 1:8225 HOTSPRINGS DR NW
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7696
Mailing Address - Country:US
Mailing Address - Phone:161-480-5653
Mailing Address - Fax:
Practice Address - Street 1:8225 HOTSPRINGS DR NW
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7696
Practice Address - Country:US
Practice Address - Phone:161-480-5653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care