| |
104 S. West Street Edgerton OH 43517 | |
(419) 298-2478 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 104 S. West Street, Edgerton, Ohio |
Authorized Official Name and Position | Janey Zachrich (CEO) |
Authorized Official Contact | 4195425566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
208 Columbus St Hicksville OH 43526-1250 Ph: (419) 542-5566 | 104 S. West Street Edgerton OH 43517 Ph: (419) 298-2478 |
NPI Number | 1336632280 |
---|---|
Provider Enumeration Date | 06/14/2018 |
Last Update Date | 10/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336632280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 35090360 (Ohio) | Primary |