| Equitas Health, Inc | |
|
3450 W Central Ave Ste 104 Toledo OH 43606-1403 | |
| (833) 378-4827 | |
| Not Available |
| Full Name | Equitas Health, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3450 W Central Ave Ste 104, Toledo, Ohio |
| Authorized Official Name and Position | Susan C Willis (PAYER CREDENTIALING MANAGER) |
| Authorized Official Contact | 9379993152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equitas Health, Inc 1105 Schrock Rd Ste 400 Columbus OH 43229-1174 Ph: (833) 378-4827 | Equitas Health, Inc 3450 W Central Ave Ste 104 Toledo OH 43606-1403 Ph: (833) 378-4827 |
| NPI Number | 1063239911 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063239911 | NPI | - | NPPES |
| 0069402 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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