| |
430 Nebraska Ave Toledo OH 43604-8540 | |
(419) 255-7883 | |
(419) 255-6438 |
Full Name | |
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Speciality | Clinic/Center |
Location | 430 Nebraska Ave, Toledo, Ohio |
Authorized Official Name and Position | Sandra D Miller-corbett (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 4197207883 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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313 Jefferson Ave Toledo OH 43604-1004 Ph: (419) 720-7883 | 430 Nebraska Ave Toledo OH 43604-8540 Ph: (419) 255-7883 |
NPI Number | 1518089762 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 11/18/2024 |
Medicare PECOS PAC ID | 5698686665 |
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Medicare Enrollment ID | O20030925000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518089762 | NPI | - | NPPES |
01403 | Other | OH | PARAMOUNT |
0824228 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 | |
Randall Mccormick Toledo Internal Medicine Spec Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Cherry St, Ste 207, Toledo, OH 43608 Phone: 419-251-7672 Fax: 419-251-6785 | |
Sportscare Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 N Reynolds Rd Ste 140, Toledo, OH 43615 Phone: 419-578-7590 Fax: 419-537-5605 | |
Tracey Warren Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 | |