CCN: 369375 NPI: 1528784626 Organization

Fountain Healthcare LLC

2876 WESTERVILLE RD
COLUMBUS, OH 432244463

Contact Information

Phone 6147725726
Enumeration Date 2022-10-19
Last Updated 2022-11-09

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 18140

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 18140

providerType 36

specialPaymentIndicator

carrierCode 15202

localityCode 00