| Northwestern Ohio Care, Llc | |
|
131 Kensington Cir Lima OH 45804-3341 | |
| (419) 998-4575 | |
| (419) 221-0685 |
| Full Name | Northwestern Ohio Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 131 Kensington Cir, Lima, Ohio |
| Authorized Official Name and Position | Frank M Baldauf (PRESIDENT) |
| Authorized Official Contact | 4199984575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Ohio Care, Llc 951 Commerce Pkwy Suite 101 Lima OH 45804-4040 Ph: (419) 998-4575 | Northwestern Ohio Care, Llc 131 Kensington Cir Lima OH 45804-3341 Ph: (419) 998-4575 |
| NPI Number | 1851822746 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/27/2017 |
| Medicare PECOS PAC ID | 5597042739 |
|---|---|
| Medicare Enrollment ID | O20170426000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851822746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.036036 (Ohio) | Primary |
| Provider Name | Frank A Baldauf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942267380 PECOS PAC ID: 4183791437 Enrollment ID: I20080929000210 |
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