| Ohioguidestone | |
|
202 East Bagley Road Berea OH 44017-2058 | |
| (800) 234-2006 | |
| (440) 260-8305 |
| Full Name | Ohioguidestone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 East Bagley Road, Berea, Ohio |
| Authorized Official Name and Position | Margie Ziemski (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4402608327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohioguidestone 434 Eastland Road Berea OH 44017-2058 Ph: (800) 234-2006 | Ohioguidestone 202 East Bagley Road Berea OH 44017-2058 Ph: (800) 234-2006 |
| NPI Number | 1174680557 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 06/01/2021 |
| Certification Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174680557 | NPI | - | NPPES |
| 2847067 | Medicaid | OH | |
| 3139955 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Primary |
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