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Carestar — NPI 1942332069, Columbus, OH | NPI Central

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NPI 1942332069

OrganizationActive

Carestar

NPI 1942332069 · Exclusive Provider Organization · Columbus, OH

Provider details

NPI number: 1942332069
Entity type: Organization
Primary specialty: Exclusive Provider OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Renee Canning, License Practical Nurse(614) 860-9307
License: RP008385 (OH)

Specialties & taxonomies

Exclusive Provider OrganizationPrimary302F00000XLicense RP008385 (OH)
Managed Care Organizations

Practice location

3035 Falcon Bridge Dr

Columbus, OH 43232-5428

Phone: (614) 860-9307

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

3035 Falcon Bridge Dr

Columbus, OH 43232-5428

Other names (DBA / former)

Former legal business name: Medicaid Private Provider

Registry dates

Enumerated: 2007-03-12
Last updated: 2008-03-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.