Provider Demographics
NPI:1922205731
Name:CENTRAL OHIO CARE SERVICES LLC
Entity type:Organization
Organization Name:CENTRAL OHIO CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BAUMGARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-481-9200
Mailing Address - Street 1:1250 CHAMBERS RD
Mailing Address - Street 2:225
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1753
Mailing Address - Country:US
Mailing Address - Phone:614-481-9200
Mailing Address - Fax:614-481-9210
Practice Address - Street 1:1250 CHAMBERS RD
Practice Address - Street 2:225
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1753
Practice Address - Country:US
Practice Address - Phone:614-481-9200
Practice Address - Fax:614-481-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization