| Sturges Clinic Inc | |
|
146 Marion Avenue Mansfield OH 44903-2201 | |
| (419) 526-2655 | |
| (419) 526-1107 |
| Full Name | Sturges Clinic Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 146 Marion Avenue, Mansfield, Ohio |
| Authorized Official Name and Position | Yogesh K Desai (OWNER) |
| Authorized Official Contact | 4195262655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sturges Clinic Inc 146 Marion Avenue Mansfield OH 44903-2201 Ph: (419) 526-2655 | Sturges Clinic Inc 146 Marion Avenue Mansfield OH 44903-2201 Ph: (419) 526-2655 |
| NPI Number | 1417160102 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 03/18/2008 |
| Medicare PECOS PAC ID | 7618931080 |
|---|---|
| Medicare Enrollment ID | O20041116000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417160102 | NPI | - | NPPES |
| 0961008 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Yogesh K Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710950720 PECOS PAC ID: 9335103704 Enrollment ID: I20110207000007 |
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