Celina Family Practice | |
724 E Wayne St Celina HI 45822-0420 | |
(419) 586-3113 | |
(419) 586-6560 |
Full Name | Celina Family Practice |
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Speciality | Family Medicine |
Location | 724 E Wayne St, Celina, Hawaii |
Authorized Official Name and Position | Philip R Masser (PRESIDENT OF CORPORATION) |
Authorized Official Contact | 4195863113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Celina Family Practice Po Box 420 Celina OH 45822-0420 Ph: (419) 586-3113 | Celina Family Practice 724 E Wayne St Celina HI 45822-0420 Ph: (419) 586-3113 |
NPI Number | 1861574873 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861574873 | NPI | - | NPPES |
4551168 | Other | HI | AETNA |
0609854 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Ohio) | Primary |