| Affinity Healthworks, Llc | |
|
1092 Martha Ave Bucyrus OH 44820-3045 | |
| (419) 562-6229 | |
| (419) 617-3771 |
| Full Name | Affinity Healthworks, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1092 Martha Ave, Bucyrus, Ohio |
| Authorized Official Name and Position | Barbara Wirebaugh (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 4195696229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Healthworks, Llc Po Box 722 Bucyrus OH 44820-0722 Ph: (419) 569-6229 | Affinity Healthworks, Llc 1092 Martha Ave Bucyrus OH 44820-3045 Ph: (419) 562-6229 |
| NPI Number | 1750522801 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Medicare PECOS PAC ID | 5890842553 |
|---|---|
| Medicare Enrollment ID | O20090415000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750522801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | I10227 (Ohio) | Primary |
| Provider Name | Michelle S Geissman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982718664 PECOS PAC ID: 1052405495 Enrollment ID: I20070917000337 |
| Provider Name | Barbara A Wirebaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861501843 PECOS PAC ID: 9537216296 Enrollment ID: I20090415000253 |
| Provider Name | John E Tatro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992819585 PECOS PAC ID: 6608040704 Enrollment ID: I20111130000393 |
| Provider Name | Jean M Ollis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922325851 PECOS PAC ID: 6507180791 Enrollment ID: I20150116001029 |
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