Provider Demographics
NPI:1467430801
Name:COLUMBUS INPATIENT CARE INC.
Entity type:Organization
Organization Name:COLUMBUS INPATIENT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:THURSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:930-509-5090
Mailing Address - Street 1:5300 N MEADOWS DR STE 7023
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2546
Mailing Address - Country:US
Mailing Address - Phone:937-509-5090
Mailing Address - Fax:614-663-4940
Practice Address - Street 1:5300 N MEADOWS DR STE 7023
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2546
Practice Address - Country:US
Practice Address - Phone:937-509-5090
Practice Address - Fax:614-663-4940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2373622Medicaid