1104138502 NPI number — MOLINA HEALTHCARE OF OHIO

Table of content: (NPI 1104138502)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104138502 NPI number — MOLINA HEALTHCARE OF OHIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOLINA HEALTHCARE OF OHIO
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:
Provider Other Organization Name Type Code:
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:
1104138502
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 349020
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43234-9020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-642-4168
Provider Business Mailing Address Fax Number:
614-781-1537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8101 N HIGH ST
Provider Second Line Business Practice Location Address:
STE 130
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43235-1406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-642-4168
Provider Business Practice Location Address Fax Number:
614-781-1537
Provider Enumeration Date:
07/14/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MANCINI
Authorized Official First Name:
KATHIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
888-562-5442

Provider Taxonomy Codes

  • Taxonomy code: 302R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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