| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214958297 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447245774 PECOS PAC ID: 6608891791 Enrollment ID: I20051007000467 |
| Provider Name | Michelle R Menke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659642858 PECOS PAC ID: 1850550013 Enrollment ID: I20120307000221 |
| Provider Name | Jaclyn R Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881116416 PECOS PAC ID: 6608149810 Enrollment ID: I20170911002114 |
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