1295918316 NPI number — NORTH CENTRAL OHIO HEALTH CARE, INC.

Table of content: (NPI 1295918316)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295918316 NPI number — NORTH CENTRAL OHIO HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH CENTRAL OHIO HEALTH CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
C/O RASHID PERVEZ
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295918316
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
616 OFFICE PKWY STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTERVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43082-6064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-899-0900
Provider Business Mailing Address Fax Number:
614-899-0901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
616 OFFICE PKWY STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-899-0900
Provider Business Practice Location Address Fax Number:
614-899-0901
Provider Enumeration Date:
12/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PERVEZ
Authorized Official First Name:
RASHID
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
419-524-7771

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  35-07-08643-P , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 260052363 . This is a "MEDICARE RR" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 9329701 . This is a "MEDICARE GROUP NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 270477000 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2214884 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 273851 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 354806482004 . This is a "MEDICAL MUTUAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000250237 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 03915 . This is a "PARAMOUNT HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 354806482-00 . This is a "WORKER'S COMP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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