| Midwest Health Services, Inc. | |
|
107 Tommy Henrich Dr Nw Massillon OH 44647-5402 | |
| (330) 832-9582 | |
| Not Available |
| Full Name | Midwest Health Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 107 Tommy Henrich Dr Nw, Massillon, Ohio |
| Authorized Official Name and Position | Jordan Knetzer (PRESIDENT) |
| Authorized Official Contact | 3308329582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Health Services, Inc. 107 Tommy Henrich Dr Nw Massillon OH 44647-5402 Ph: (330) 353-5715 | Midwest Health Services, Inc. 107 Tommy Henrich Dr Nw Massillon OH 44647-5402 Ph: (330) 832-9582 |
| NPI Number | 1629761408 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Medicare PECOS PAC ID | 4880031673 |
|---|---|
| Medicare Enrollment ID | O20240328002802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629761408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Katelyn Huff |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1750784443 PECOS PAC ID: 8820436504 Enrollment ID: I20240401000402 |
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