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725 E Market St Akron OH 44305-2421 | |
| (330) 434-4141 | |
| (330) 434-7125 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 725 E Market St, Akron, Ohio |
| Authorized Official Name and Position | Theodore P Ziegler (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3304344141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
725 E Market St Akron OH 44305-2421 Ph: (330) 434-4141 | 725 E Market St Akron OH 44305-2421 Ph: (330) 434-4141 |
| NPI Number | 1588929376 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 07/10/2012 |
| Medicare PECOS PAC ID | 8022061142 |
|---|---|
| Medicare Enrollment ID | O20200324000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588929376 | NPI | - | NPPES |
| 2863914 | Medicaid | OH | |
| 0674060 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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