Provider Demographics
NPI:1487543013
Name:COLUMBUS OUTPATIENT CENTER
Entity type:Organization
Organization Name:COLUMBUS OUTPATIENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-229-3514
Mailing Address - Street 1:553 E TOWN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-4926
Mailing Address - Country:US
Mailing Address - Phone:800-229-3514
Mailing Address - Fax:800-229-3514
Practice Address - Street 1:553 E TOWN ST STE 2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4926
Practice Address - Country:US
Practice Address - Phone:800-229-3514
Practice Address - Fax:800-229-3514
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBUS OUTPATIENT COLLECTION CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service