Provider Demographics
NPI:1770616617
Name:MCCOSKER-HEALD ENTERPRISES INC
Entity type:Organization
Organization Name:MCCOSKER-HEALD ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-451-3635
Mailing Address - Street 1:3600 OLENTANGY RIVER RD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3437
Mailing Address - Country:US
Mailing Address - Phone:614-451-3635
Mailing Address - Fax:614-451-2858
Practice Address - Street 1:3600 OLENTANGY RIVER RD STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3437
Practice Address - Country:US
Practice Address - Phone:614-451-3635
Practice Address - Fax:614-451-2858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
366566Medicare ID - Type Unspecified