Infusion Center Of Northwest Ohio | |
329 N West St Lima OH 45801-4332 | |
(419) 229-6007 | |
(419) 229-0607 |
Full Name | Infusion Center Of Northwest Ohio |
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Speciality | Internal Medicine - Infectious Disease |
Location | 329 N West St, Lima, Ohio |
Authorized Official Name and Position | Wilfred J.g. Ellis (CEO) |
Authorized Official Contact | 4192296007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Infusion Center Of Northwest Ohio 329 N West St Lima OH 45801-4332 Ph: (419) 229-6007 | Infusion Center Of Northwest Ohio 329 N West St Lima OH 45801-4332 Ph: (419) 229-6007 |
NPI Number | 1487677332 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487677332 | NPI | - | NPPES |
0804535 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 35060082 (Ohio) | Primary |
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