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4800 Ledgewood Drive Health Center Medina OH 44256-7666 | |
(330) 723-9688 | |
(330) 723-9659 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4800 Ledgewood Drive, Medina, Ohio |
Authorized Official Name and Position | Krista Wasowski (HEALTH COMMISSIONER) |
Authorized Official Contact | 3307239688 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4800 Ledgewood Drive Health Center Medina OH 44256-7666 Ph: (330) 723-9688 | 4800 Ledgewood Drive Health Center Medina OH 44256-7666 Ph: (330) 723-9688 |
NPI Number | 1154800340 |
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Provider Enumeration Date | 08/09/2018 |
Last Update Date | 12/31/2019 |
Medicare PECOS PAC ID | 6709981764 |
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Medicare Enrollment ID | O20181029000357 |
Identifier | Type | State | Issuer |
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1154800340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kase, Speelman, &cullen, M.d.'s, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 E Washington St, Ste 4b, Medina, OH 44256 Phone: 330-723-3256 Fax: 330-722-6731 | |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 108, Medina, OH 44256 Phone: 216-265-8844 Fax: 216-265-8890 | |