Provider Demographics
NPI:1942229091
Name:SIGMA MEDICAL
Entity Type:Organization
Organization Name:SIGMA MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:NORM
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:614-866-1334
Mailing Address - Street 1:3933 GROVES RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4138
Mailing Address - Country:US
Mailing Address - Phone:614-866-1334
Mailing Address - Fax:614-866-3313
Practice Address - Street 1:3933 GROVES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4138
Practice Address - Country:US
Practice Address - Phone:614-866-1334
Practice Address - Fax:614-866-3313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2593171Medicaid