Provider Demographics
NPI:1427653005
Name:MAHONEY HEALTH SERVICES, INC
Entity type:Organization
Organization Name:MAHONEY HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:APPIAH-BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:614-707-6100
Mailing Address - Street 1:2238 S HAMILTON RD STE 102B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4382
Mailing Address - Country:US
Mailing Address - Phone:614-707-6100
Mailing Address - Fax:
Practice Address - Street 1:320 LINWOOD ST # 102
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-4952
Practice Address - Country:US
Practice Address - Phone:614-707-6100
Practice Address - Fax:614-504-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service