Amethyst, Inc. Medicaid Aod

LBN: Amethyst, Inc.
Amethyst, Inc. Medicaid Aod is an health care organization with primary practice located at 455 E Mound St , Columbus OH 43215-5595. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Amethyst, Inc. can be contacted via phone (614) 242-1284, or through Moore, Terry L via phone (614) 242-1284.

Contact Information

Primary practice address
455 E Mound St Columbus OH 43215-5595
Phone: (614) 242-1284
Fax: (614) 242-1286
Website:
Map and Directions
Authorized official contact:
Name: Moore, Terry L CPA
Phone: (614) 242-1284

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Ohio

Profile Details

NPI number 1609138106
LBN Legal business name Amethyst, Inc.
DBA Doing business as Amethyst, Inc. Medicaid Aod
Authorized official Moore, Terry L CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609138106 NPPES
Ohio MEDICAID 2864548

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