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923 N Huron St Toledo OH 43604-1715 | |
| (419) 242-6028 | |
| (419) 242-8114 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 923 N Huron St, Toledo, Ohio |
| Authorized Official Name and Position | Sandra D Miller-corbett (CEO) |
| Authorized Official Contact | 4197207883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
313 Jefferson Ave Toledo OH 43604-1004 Ph: (419) 720-7883 | 923 N Huron St Toledo OH 43604-1715 Ph: (419) 242-6028 |
| NPI Number | 1801917273 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801917273 | NPI | - | NPPES |
| 0150654 | Medicaid | OH | |
| 01403 | Other | OH | PARAMOUNT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 | |
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Tracey Warren Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 | |