Leahy Family Care Inc | |
825 S Cable Rd Suite A Lima OH 45805-3467 | |
(419) 224-1234 | |
(419) 224-6800 |
Full Name | Leahy Family Care Inc |
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Speciality | Clinic/Center |
Location | 825 S Cable Rd, Lima, Ohio |
Authorized Official Name and Position | William J Leahy (OWNER) |
Authorized Official Contact | 4192241234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leahy Family Care Inc 825 S Cable Rd Suite A Lima OH 45805-3467 Ph: (419) 224-1234 | Leahy Family Care Inc 825 S Cable Rd Suite A Lima OH 45805-3467 Ph: (419) 224-1234 |
NPI Number | 1902918030 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7214958297 |
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Medicare Enrollment ID | O20051219000386 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902918030 | NPI | - | NPPES |
2156518 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | William J Leahy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447245774 PECOS PAC ID: 6608891791 Enrollment ID: I20051007000467 |
Provider Name | Michelle R Menke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659642858 PECOS PAC ID: 1850550013 Enrollment ID: I20120307000221 |
Provider Name | Jaclyn R Goins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881116416 PECOS PAC ID: 6608149810 Enrollment ID: I20170911002114 |
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