| Primary Health Care Of Ashtabula, Inc | |
|
5266 State Route 45 Rome OH 44085-9404 | |
| (440) 563-5028 | |
| (440) 563-3044 |
| Full Name | Primary Health Care Of Ashtabula, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5266 State Route 45, Rome, Ohio |
| Authorized Official Name and Position | Bruce Peters (PRESIDENT) |
| Authorized Official Contact | 4405635028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care Of Ashtabula, Inc 5266 State Route 45 Rome OH 44085-9404 Ph: (440) 563-5028 | Primary Health Care Of Ashtabula, Inc 5266 State Route 45 Rome OH 44085-9404 Ph: (440) 563-5028 |
| NPI Number | 1962447227 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962447227 | NPI | - | NPPES |
| 2218906 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ashtabula Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5266 State Route 45, Rome, OH 44085 Phone: 440-563-5028 Fax: 440-563-3044 | |
Primary Healthcare Of Ashtabula Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5266 State Route 45, Rome, OH 44085 Phone: 440-563-5028 |