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Contact Information

MID OHIO RENAL DISEASE AND HYPERTENSION SPECIALIST, INC.
777 WEST STATE STREET
SUITE 502
COLUMBUS, OH43222
 Phone: 614-228-4018
 Fax: 614-228-4237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MID OHIO RENAL DISEASE AND HYPERTENSION SPECIALIST, INC.

NPI Number 1013017417
LBN Legal business name MID OHIO RENAL DISEASE AND HYPERTENSION SPECIALIST, INC.
Authorized official VIRGINIA LONG - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2006
Last updated 06/06/2008 - About 18 years ago
Identifiers
OH Medicaid 2389982
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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