| Promedica Senior Care Medical Services I Llc | |
|
333 N Summit St Fl 15 Toledo OH 43604-1531 | |
| (800) 427-1902 | |
| Not Available |
| Full Name | Promedica Senior Care Medical Services I Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 333 N Summit St Fl 15, Toledo, Ohio |
| Authorized Official Name and Position | Martin Allen (DIRECTOR) |
| Authorized Official Contact | 4192525500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedica Senior Care Medical Services I Llc 333 N Summit St Fl 15 Toledo OH 43604-1531 Ph: (800) 427-1902 | Promedica Senior Care Medical Services I Llc 333 N Summit St Fl 15 Toledo OH 43604-1531 Ph: (800) 427-1902 |
| NPI Number | 1326633017 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 11/25/2022 |
| Medicare PECOS PAC ID | 0244619112 |
|---|---|
| Medicare Enrollment ID | O20220623001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326633017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Arun Raghunath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821222530 PECOS PAC ID: 6204003700 Enrollment ID: I20170202000855 |
| Provider Name | Nicole A Padmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932172756 PECOS PAC ID: 9133113038 Enrollment ID: I20200316002019 |
| Provider Name | Salome B Hawkins-cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134130446 PECOS PAC ID: 8325215163 Enrollment ID: I20220623001265 |
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