Gch Physician Practice East Hill Street | |
130 Hill St Bucyrus OH 44820-1511 | |
(419) 562-3264 | |
Not Available |
Full Name | Gch Physician Practice East Hill Street |
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Speciality | Clinic/Center |
Location | 130 Hill St, Bucyrus, Ohio |
Authorized Official Name and Position | Jerome B Morasko (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4194680500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gch Physician Practice East Hill Street 269 Portland Way S Galion OH 44833-2312 Ph: (419) 468-4841 | Gch Physician Practice East Hill Street 130 Hill St Bucyrus OH 44820-1511 Ph: (419) 562-3264 |
NPI Number | 1861749376 |
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Provider Enumeration Date | 08/14/2012 |
Last Update Date | 11/06/2012 |
Medicare PECOS PAC ID | 5496737439 |
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Medicare Enrollment ID | O20121106000033 |
Identifier | Type | State | Issuer |
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1861749376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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