| Berea Family Medicine, Inc | |
|
853 W Bagley Rd Berea OH 44017-2903 | |
| (440) 234-0502 | |
| (440) 234-0590 |
| Full Name | Berea Family Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 853 W Bagley Rd, Berea, Ohio |
| Authorized Official Name and Position | Mary Ellen Wiggenhorn (PRACTICE MANAGER) |
| Authorized Official Contact | 4402340502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berea Family Medicine, Inc 853 W Bagley Rd Berea OH 44017-2903 Ph: (440) 234-0502 | Berea Family Medicine, Inc 853 W Bagley Rd Berea OH 44017-2903 Ph: (440) 234-0502 |
| NPI Number | 1629190921 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629190921 | NPI | - | NPPES |
| 2849172 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35049545 (Ohio) | Primary |
Cleveland Community Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd, Suite 1, Berea, OH 44017 Phone: 440-816-1120 Fax: 440-816-1022 | |
Baldwin Wallace University Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Beech St, Berea, OH 44017 Phone: 440-826-2178 Fax: 440-826-3382 | |
Uhmp - Robert Blankfield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Front St Ste 101, Berea, OH 44017 Phone: 216-243-7299 Fax: 440-243-0651 | |
Sanjay K. Choudhary, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 W Bagley Rd, Berea, OH 44017 Phone: 440-816-1888 Fax: 440-816-0786 |