Provider Demographics
NPI:1932538774
Name:LOCAL PUBLIC HEALTH SERVICES COLLABORATIVE LLC
Entity Type:Organization
Organization Name:LOCAL PUBLIC HEALTH SERVICES COLLABORATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BICKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CNS
Authorized Official - Phone:614-781-9556
Mailing Address - Street 1:110 NORTHWOODS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4723
Mailing Address - Country:US
Mailing Address - Phone:614-781-9556
Mailing Address - Fax:614-781-9558
Practice Address - Street 1:110 NORTHWOODS BLVD STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4723
Practice Address - Country:US
Practice Address - Phone:614-781-9556
Practice Address - Fax:614-781-9558
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATION OF OHIO HEALTH COMMISSIONERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-02
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty