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  • 369294
CCN: 369294 NPI: 1154987717 Organization

CRYSTAL HERITAGE CARE LLC

1105 SCHROCK RD STE 516
COLUMBUS, OH 432291182

Contact Information

  • Phone 6144681199
  • Enumeration Date 2019-05-19
  • Last Updated 2025-10-30

Taxonomies

  • Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 18140
providerType 36
censusDivision 4
cbsaActualGeographicLocation 18140
providerType 36
censusDivision 4
cbsaActualGeographicLocation 18140
providerType 36
censusDivision 4
cbsaActualGeographicLocation 18140
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 18140
providerType 36
carrierCode 15202
localityCode 00
cbsaActualGeographicLocation 18140
providerType 36
specialPaymentIndicator
carrierCode 15202
localityCode 00
cbsaActualGeographicLocation 18140
providerType 36
specialPaymentIndicator
carrierCode 15202
localityCode 00

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