| |
629 N Sandusky Ave Bucyrus OH 44820-1821 | |
(419) 562-4677 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 629 N Sandusky Ave, Bucyrus, Ohio |
Authorized Official Name and Position | Donald E. Draime (VICE PRESIDENT/CFO) |
Authorized Official Contact | 4194680501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
269 Portland Way S Galion OH 44833-2312 Ph: (419) 468-4841 | 629 N Sandusky Ave Bucyrus OH 44820-1821 Ph: (419) 562-4677 |
NPI Number | 1053678201 |
---|---|
Provider Enumeration Date | 04/12/2012 |
Last Update Date | 03/26/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053678201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 261QR1300X (Ohio) | Primary |
Crawford Health Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 E Mansfield St, Bucyrus, OH 44820 Phone: 419-562-1413 Fax: 419-562-1424 | |
Bucyrus Community Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 | |