Genoa Medical Center | |
22614 W State Route 51 Genoa OH 43430-1143 | |
(419) 855-7772 | |
(419) 855-4800 |
Full Name | Genoa Medical Center |
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Speciality | Family Medicine |
Location | 22614 W State Route 51, Genoa, Ohio |
Authorized Official Name and Position | Neiman Toufek Odeh (PRESIDENT OF CORPORATION) |
Authorized Official Contact | 4198557772 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genoa Medical Center 22614 W State Route 51 Genoa OH 43430-1143 Ph: (419) 855-7772 | Genoa Medical Center 22614 W State Route 51 Genoa OH 43430-1143 Ph: (419) 855-7772 |
NPI Number | 1750374070 |
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Provider Enumeration Date | 08/23/2005 |
Last Update Date | 05/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750374070 | NPI | - | NPPES |
2169059 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35075834 (Ohio) | Primary |