| Springvale Health Centers, Inc. | |
|
204 S Bellevue Ave Dover OH 44622-9405 | |
| (330) 343-6631 | |
| Not Available |
| Full Name | Springvale Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 S Bellevue Ave, Dover, Ohio |
| Authorized Official Name and Position | Joseph J Boroski (CEO) |
| Authorized Official Contact | 3303436631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springvale Health Centers, Inc. 204 S Bellevue Ave Dover OH 44622-9405 Ph: (330) 343-6631 | Springvale Health Centers, Inc. 204 S Bellevue Ave Dover OH 44622-9405 Ph: (330) 343-6631 |
| NPI Number | 1487035986 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 4688616980 |
|---|---|
| Medicare Enrollment ID | O20150916000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487035986 | NPI | - | NPPES |
| 0113394 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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