Provider Demographics
NPI:1427434265
Name:OHIOHEALTH CORPORATION
Entity type:Organization
Organization Name:OHIOHEALTH CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-544-4622
Mailing Address - Street 1:1166 DUBLIN RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1030
Mailing Address - Country:US
Mailing Address - Phone:614-544-4604
Mailing Address - Fax:614-533-0040
Practice Address - Street 1:1166 DUBLIN RD
Practice Address - Street 2:SUITE 400
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1030
Practice Address - Country:US
Practice Address - Phone:614-544-4604
Practice Address - Fax:614-533-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine