| Carnation Clinic Inc | |
|
1401 S Arch Ave Alliance OH 44601-4202 | |
| (330) 821-0201 | |
| (330) 821-1924 |
| Full Name | Carnation Clinic Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1401 S Arch Ave, Alliance, Ohio |
| Authorized Official Name and Position | Rasario Bautista (ADMINISTRATOR MGR) |
| Authorized Official Contact | 3308210201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carnation Clinic Inc 1401 S Arch Ave Alliance OH 44601-4202 Ph: (330) 821-0201 | Carnation Clinic Inc 1401 S Arch Ave Alliance OH 44601-4202 Ph: (330) 821-0201 |
| NPI Number | 1114092814 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114092814 | NPI | - | NPPES |
| CK0913 | Other | OH | RAILROAD MEDICARE |
| 0103640 | Medicaid | OH | |
| 127480600 | Other | OH | FEDERAL EMPLOYEE BWC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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