| Mercy Health - Defiance Hospital Family Medicine, Ada | |
|
604 W North Ave Ada OH 45810-1041 | |
| (419) 634-0431 | |
| Not Available |
| Full Name | Mercy Health - Defiance Hospital Family Medicine, Ada |
|---|---|
| Speciality | Clinic/Center |
| Location | 604 W North Ave, Ada, Ohio |
| Authorized Official Name and Position | Sonya Selhorst (ADMINISTRATOR) |
| Authorized Official Contact | 4197853983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health - Defiance Hospital Family Medicine, Ada 604 W North Ave Ada OH 45810-1041 Ph: () - | Mercy Health - Defiance Hospital Family Medicine, Ada 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 |
| Medicare PECOS PAC ID | 8921074436 |
|---|---|
| Medicare Enrollment ID | O20190925002628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609420603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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