Provider Demographics
NPI:1538528120
Name:CENTRAL OHIO CLINICAL, LLC
Entity type:Organization
Organization Name:CENTRAL OHIO CLINICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-493-8987
Mailing Address - Street 1:175 S 3RD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5134
Mailing Address - Country:US
Mailing Address - Phone:614-723-9336
Mailing Address - Fax:888-325-8724
Practice Address - Street 1:175 S 3RD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5134
Practice Address - Country:US
Practice Address - Phone:614-723-9336
Practice Address - Fax:888-325-8724
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTOPHER BROWN MD, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-11
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RN0300X
OH35082025261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty