CITYBLOCK MEDICAL PRACTICE LLC NPI 1013673821

NPI Information

NPI: 1013673821
Provider Name: CITYBLOCK MEDICAL PRACTICE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D2247689

Address:
6100 E MAIN ST STE 110
COLUMBUS, OH
ZIP 43213
Phone: (833) 904-0620
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CITYBLOCK MEDICAL PRACTICE, LLC is a primary care clinic center in Columbus, OH. CITYBLOCK MEDICAL PRACTICE, LLC NPI is 1013673821. The provider is registered as an organization entity type.

The provider's business location address is:

6100 E MAIN ST STE 110
COLUMBUS, OH
ZIP 43213-399
Phone: (833) 904-0620

The provider's authorized official is Susan Brown .
The authorized official title is Chief Administrative Officer and has the following contact phone number (833) 904-0620.

The CLIA number assigned to this NPI record is 36D2247689 - other - physicians office: mobile with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 1/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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