| Fremont Walkin Medical Center, Inc | |
|
1223 Oak Harbor Rd Fremont OH 43420-1020 | |
| (419) 334-7191 | |
| (419) 334-7405 |
| Full Name | Fremont Walkin Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1223 Oak Harbor Rd, Fremont, Ohio |
| Authorized Official Name and Position | Charles Valone (PRESIDENT) |
| Authorized Official Contact | 4193347191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Walkin Medical Center, Inc 1223 Oak Harbor Rd Fremont OH 43420-1020 Ph: (419) 334-7191 | Fremont Walkin Medical Center, Inc 1223 Oak Harbor Rd Fremont OH 43420-1020 Ph: (419) 334-7191 |
| NPI Number | 1821117102 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 03/15/2012 |
| Medicare PECOS PAC ID | 3274795299 |
|---|---|
| Medicare Enrollment ID | O20120508000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821117102 | NPI | - | NPPES |
| 0720492 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 003421 (Ohio) | Primary |
| Provider Name | Charles L Valone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538165337 PECOS PAC ID: 5698774461 Enrollment ID: I20061206000105 |
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