Provider Demographics
NPI:1558102632
Name:IH CARE PLUS INC
Entity type:Organization
Organization Name:IH CARE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR DIR NETWORK RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:VASKEYSA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-598-5329
Mailing Address - Street 1:118 GRACELAND BLVD # 324
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1530
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:510 E WILSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2373
Practice Address - Country:US
Practice Address - Phone:877-789-8583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care