Ontario Physician Practices | |
2981 W 4th St Ontario OH 44906-1267 | |
(419) 462-4561 | |
Not Available |
Full Name | Ontario Physician Practices |
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Speciality | Clinic/Center |
Location | 2981 W 4th St, Ontario, Ohio |
Authorized Official Name and Position | Donald E Draime (VICE PRESIDENT/CFO) |
Authorized Official Contact | 4194680501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ontario Physician Practices 2981 W 4th St Ontario OH 44906-1267 Ph: () - | Ontario Physician Practices 2981 W 4th St Ontario OH 44906-1267 Ph: (419) 462-4561 |
NPI Number | 1194154294 |
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Provider Enumeration Date | 11/08/2013 |
Last Update Date | 03/26/2014 |
Medicare PECOS PAC ID | 5496737439 |
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Medicare Enrollment ID | O20140829001477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194154294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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