Community Care I, Inc. | |
8153 Main Street Old Fort OH 44861 | |
(419) 992-4231 | |
(419) 992-4722 |
Full Name | Community Care I, Inc. |
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Speciality | Family Medicine |
Location | 8153 Main Street, Old Fort, Ohio |
Authorized Official Name and Position | Denise Woolley (DIRECTOR, MEDICAL STAFF SERVICES) |
Authorized Official Contact | 4193346624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Care I, Inc. 715 S Taft Ave Fremont OH 43420-3200 Ph: (419) 334-6624 | Community Care I, Inc. 8153 Main Street Old Fort OH 44861 Ph: (419) 992-4231 |
NPI Number | 1619901915 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 10/20/2010 |
Identifier | Type | State | Issuer |
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1619901915 | NPI | - | NPPES |
0238951 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |