| Ohioguidestone | |
|
202 E Bagley Rd Berea OH 44017-2058 | |
| (800) 234-2006 | |
| (440) 260-8305 |
| Full Name | Ohioguidestone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 E Bagley Rd, 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 202 E Bagley Rd Berea OH 44017-2058 Ph: (800) 234-2006 | Ohioguidestone 202 E Bagley Rd Berea OH 44017-2058 Ph: (800) 234-2006 |
| NPI Number | 1295096758 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 06/01/2021 |
| Certification Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295096758 | NPI | - | NPPES |
| 3139955 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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