Independence House is a
Clinic/center - Physical Therapy based in Fostoria, Ohio. Independence House is licensed to practice in Ohio (license number 1951N) and their current practice location is
1000 Independence Ave, Fostoria, Ohio. It can be reached at their office (for appointments etc.) via phone at
(419) 435-8505.
NPI number for Independence House is 1134679145 and their current mailing address is 1000 Independence Ave, Fostoria, Ohio. Independence House
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1134679145.
Healthcare Provider's Profile
| Full Name | Independence House |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Physical Therapy |
|---|
| Location | 1000 Independence Ave, Fostoria, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134679145
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 10/13/2016
Medical Identifiers
Medical identifiers for Independence House such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134679145 | NPI | - | NPPES |
| 2789791 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 1951N (Ohio) | Secondary |
| 235Z00000X | Speech-language Pathologist | 1951N (Ohio) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 1951N (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Independence House is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Independence House
1000 Independence Ave,
Fostoria, OH 44830-9614
Ph: (419) 435-8505 | Independence House
1000 Independence Ave,
Fostoria, OH 44830-9614
Ph: (419) 435-8505 |
Reviews and Comments