Provider Demographics
NPI:1831389550
Name:THE OHIO STATE UNIVERSITY MEDICAL CENTER
Entity type:Organization
Organization Name:THE OHIO STATE UNIVERSITY MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BEHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-293-9292
Mailing Address - Street 1:680 ACKERMAN RD BLDG 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-4500
Mailing Address - Country:US
Mailing Address - Phone:614-293-9292
Mailing Address - Fax:
Practice Address - Street 1:680 ACKERMAN RD BLDG 4
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-4500
Practice Address - Country:US
Practice Address - Phone:614-293-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6543682Medicaid
36-0085Medicare PIN