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269 Portland Way S Galion OH 44833-2312 | |
(419) 468-4841 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 269 Portland Way S, Galion, Ohio |
Authorized Official Name and Position | Donald Eric Draime (CFO) |
Authorized Official Contact | 4194680501 |
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 | 269 Portland Way S Galion OH 44833-2312 Ph: (419) 468-4841 |
NPI Number | 1275765653 |
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Provider Enumeration Date | 08/18/2009 |
Last Update Date | 04/07/2014 |
Medicare PECOS PAC ID | 5496737439 |
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Medicare Enrollment ID | O20090803000409 |
Identifier | Type | State | Issuer |
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1275765653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 1132 (Ohio) | Primary |
Crawford Eye Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Portland Way N, Galion, OH 44833 Phone: 419-468-3545 Fax: 419-468-3545 |