| Gch Physician Practice, Portland Way Campus | |
|
270 Portland Way S Galion OH 44833-2362 | |
| (419) 468-4841 | |
| Not Available |
| Full Name | Gch Physician Practice, Portland Way Campus |
|---|---|
| Speciality | Clinic/Center |
| Location | 270 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 |
|---|---|
| Gch Physician Practice, Portland Way Campus 269 Portlandway South Galion OH 44833-2312 Ph: (419) 468-4841 | Gch Physician Practice, Portland Way Campus 270 Portland Way S Galion OH 44833-2362 Ph: (419) 468-4841 |
| NPI Number | 1164655981 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 5496737439 |
|---|---|
| Medicare Enrollment ID | O20090803000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164655981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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