| Mansfield Umadaop | |
|
400 Bowman St Mansfield OH 44903-1235 | |
| (419) 525-3525 | |
| (419) 525-3538 |
| Full Name | Mansfield Umadaop |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Bowman St, Mansfield, Ohio |
| Authorized Official Name and Position | Dennis Baker (PRESIDENT) |
| Authorized Official Contact | 4195253525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Umadaop Po Box 1316 Mansfield OH 44901-1316 Ph: (419) 525-3525 | Mansfield Umadaop 400 Bowman St Mansfield OH 44903-1235 Ph: (419) 525-3525 |
| NPI Number | 1033571963 |
|---|---|
| Provider Enumeration Date | 03/21/2016 |
| Last Update Date | 03/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033571963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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