NPIMap

Organization Active NPI

Mount Carmel Health Providers III, LLC

Doing business as Mount Carmel Health Stations at First Church of God

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1710297288
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNT CARMEL HEALTH PROVIDERS III, LLC
Doing business as
Mount Carmel Health Stations at First Church of God
Practice address
3480 Refugee Road
Columbus, OH 43232-4814
Phone
(614) 235-4039
Fax
(614) 235-4021
NPI assigned
Oct 18, 2010
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Richardson
Title
Coordinator
Phone
(614) 546-4969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3480 Refugee Road
Columbus, OH 43232-4814

Mailing address

6150 East Broad Street
2ND Floor WH 233
Columbus, OH 43213-1574
Phone (614) 546-4400

Other names 1

  • Mount Carmel Health Stations at First Church of God Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Carmel Health Providers III LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6150 E Broad St
Fl 2
Columbus, OH 43213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1710297288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 EAST BROAD STREET",
            "address_2": "2ND FLOOR WH 233",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131574",
            "telephone_number": "614-546-4400",
            "fax_number": "614-546-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 REFUGEE ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324814",
            "telephone_number": "614-235-4039",
            "fax_number": "614-235-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL HEALTH PROVIDERS III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "614-546-4969"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Carmel Health Stations at First Church of God",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.