Margarita M Lassaletta Dba La Salette Pphc | |
185 Wadsworth Rd 2e Wadsworth OH 44281-8330 | |
(330) 336-5046 | |
(330) 336-5052 |
Full Name | Margarita M Lassaletta Dba La Salette Pphc |
---|---|
Speciality | Family Medicine |
Location | 185 Wadsworth Rd, Wadsworth, Ohio |
Authorized Official Name and Position | Margarita Lassaletta (OWNER) |
Authorized Official Contact | 3303365046 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Margarita M Lassaletta Dba La Salette Pphc 185 Wadsworth Rd 2e Wadsworth OH 44281-8330 Ph: (330) 336-5046 | Margarita M Lassaletta Dba La Salette Pphc 185 Wadsworth Rd 2e Wadsworth OH 44281-8330 Ph: (330) 336-5046 |
NPI Number | 1922285063 |
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Provider Enumeration Date | 01/30/2008 |
Last Update Date | 10/10/2012 |
Medicare PECOS PAC ID | 9537066816 |
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Medicare Enrollment ID | O20031215000924 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922285063 | NPI | - | NPPES |
5908582 | Other | OH | AETNA |
00000309393 | Other | ABCBS | |
2045085 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35067706L (Ohio) | Primary |
Provider Name | Margarita Maria Lassaletta |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063518371 PECOS PAC ID: 1052218336 Enrollment ID: I20031218000207 |
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Family Practice Center Of Wadsworth Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Leatherman Rd, Wadsworth, OH 44281 Phone: 330-334-6229 Fax: 330-334-6110 | |
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Wadsworth Rittman Area Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 High St, Wadsworth, OH 44281 Phone: 330-336-3583 Fax: 330-334-1448 | |
Medina County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Wadsworth Rd Ste C, Wadsworth, OH 44281 Phone: 330-723-9688 | |
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