Health Care Providers Inc | |
6674 Tippecanoe Rd Ste 1 Canfield OH 44406-9149 | |
(330) 533-8490 | |
(330) 533-8783 |
Full Name | Health Care Providers Inc |
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Speciality | Family Medicine |
Location | 6674 Tippecanoe Rd Ste 1, Canfield, Ohio |
Authorized Official Name and Position | James Charles Demidovich (PRESIDENT) |
Authorized Official Contact | 3305338490 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Care Providers Inc 6674 Tippecanoe Rd Ste 1 Canfield OH 44406-9149 Ph: (330) 533-8490 | Health Care Providers Inc 6674 Tippecanoe Rd Ste 1 Canfield OH 44406-9149 Ph: (330) 533-8490 |
NPI Number | 1851377949 |
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Provider Enumeration Date | 12/20/2005 |
Last Update Date | 05/29/2019 |
Medicare PECOS PAC ID | 9133101785 |
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Medicare Enrollment ID | O20040607000424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851377949 | NPI | - | NPPES |
CD0438 | Other | OH | MEDICARE TRAVELERS |
0881550 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Shannon Marie Mcnally |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598771628 PECOS PAC ID: 0941254106 Enrollment ID: I20050310000224 |
Provider Name | James Charles Demidovich |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750368825 PECOS PAC ID: 5193707776 Enrollment ID: I20101209000353 |
Provider Name | Cheri L Cutlip |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669735312 PECOS PAC ID: 8820995061 Enrollment ID: I20170404000523 |
Provider Name | Sarah Ann Soll |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063065779 PECOS PAC ID: 2769719731 Enrollment ID: I20190814000399 |
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