| Putnam County Family Care At Ottawa | |
|
102 Putnam Pkwy Ottawa OH 45875-8657 | |
| (419) 523-9632 | |
| (419) 224-1667 |
| Full Name | Putnam County Family Care At Ottawa |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Putnam Pkwy, Ottawa, Ohio |
| Authorized Official Name and Position | Jeffrey Utz (DIRECTOR OF LMP) |
| Authorized Official Contact | 4199984668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Putnam County Family Care At Ottawa 1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | Putnam County Family Care At Ottawa 102 Putnam Pkwy Ottawa OH 45875-8657 Ph: (419) 523-9632 |
| NPI Number | 1508146416 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 04/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508146416 | NPI | - | NPPES |
| 1457474900 | Other | OH | NPI |
| 2223703 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Family & Sports Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Selhorst Dr, Ottawa, OH 45875 Phone: 419-523-6329 Fax: 419-523-3960 | |
Putnam County Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 N Perry St, Suite A, Ottawa, OH 45875 Phone: 419-523-0012 Fax: 419-523-3416 |