Provider Demographics
NPI:1356741839
Name:BATTELLE MEMORIAL INSTITUTE
Entity type:Organization
Organization Name:BATTELLE MEMORIAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL HEALTH NURSE PRACTITIO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANNIFER
Authorized Official - Middle Name:SMEARSOLL
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:614-424-5373
Mailing Address - Street 1:505 KING AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-2696
Mailing Address - Country:US
Mailing Address - Phone:614-424-4223
Mailing Address - Fax:
Practice Address - Street 1:1425 STATE ROUTE 142 NE
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:43162-9647
Practice Address - Country:US
Practice Address - Phone:614-424-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15955-NP261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service