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Contact Information

BREWSERS ATHLETIC CLUB INC
849 HARMON AVE
SUITE B
COLUMBUS, OH43223-2411
 Phone: 614-291-1677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BREWSERS ATHLETIC CLUB INC

NPI # 1992702963
LBN Legal business name BREWSERS ATHLETIC CLUB INC
Authorized official JOHN ALTIERI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
OH Medicaid 2133079
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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