| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 604 W North Ave, Ada, Ohio |
| Authorized Official Name and Position | Sonya Selhorst (ADMINISTRATOR) |
| Authorized Official Contact | 4197853983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
604 W North Ave Ada OH 45810-1041 Ph: () - | 604 W North Ave Ada OH 45810-1041 Ph: (419) 634-0431 |
| NPI Number | 1609420603 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609420603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gastro-intestinal Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W North Ave, Ada, OH 45810 Phone: 419-227-8209 Fax: 419-227-8224 | |
Gastro-intestinal Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Lincoln, Ada, OH 45801 Phone: 419-227-8209 |