Full Name | |
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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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269 Portland Way S Galion OH 44833-2312 Ph: (419) 468-4841 | 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 |
---|---|---|---|
1861749376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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 | |