GOLDEN REACH CARE


Address: 1110 Morse Rd Ste 206, Columbus, OH 43229-6325
Phone: 6145920224

GOLDEN REACH CARE (NPI# 1003149758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003149758
Entity Type Organization
Organization Name GOLDEN REACH CARE
Other Organization Name GOLDEN REACH CARE
Practice Address 1110 Morse Rd Ste 206
Columbus
OH 43229-6325
Mailing Address 1110 Morse Rd Ste 206
Columbus
OH 43229
Practice Telephone 6145920224
Mailing Telephone 6145920224
Enumeration Date 2009-09-14
Last Update Date 2009-09-14
Authorized Official Name MR. MOHAMUD KEYSE (CEO)
Authorized Official Telephone 6145920224
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
200924700216 OH Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Golden Reach Care Doing Business As Name - Organization

Office Location

Street Address 1110 MORSE RD STE 206
City COLUMBUS
State OH
Zip Code 43229-6325

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1942274410 The Ohio State University Student Health Service Clinic/Center 1875 Milikin Road, Columbus, OH 43210-2200 2006-02-14
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Competitor

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City COLUMBUS
Zip Code 43229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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