| Caa Health Center At Salem | |
|
2376 Southeast Blvd Salem OH 44460-3472 | |
| (330) 424-7221 | |
| Not Available |
| Full Name | Caa Health Center At Salem |
|---|---|
| Speciality | Clinic/Center |
| Location | 2376 Southeast Blvd, Salem, Ohio |
| Authorized Official Name and Position | Jenna Wonner (COO) |
| Authorized Official Contact | 3304247221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caa Health Center At Salem 7880 Lincole Pl Lisbon OH 44432-8322 Ph: (330) 424-7221 | Caa Health Center At Salem 2376 Southeast Blvd Salem OH 44460-3472 Ph: (330) 424-7221 |
| NPI Number | 1356064414 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 8123928645 |
|---|---|
| Medicare Enrollment ID | O20230428000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356064414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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