| Putnam County Primary Care Llc | |
|
1740 N Perry St Suite A Ottawa OH 45875-1173 | |
| (419) 523-0012 | |
| (419) 523-3416 |
| Full Name | Putnam County Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1740 N Perry St, Ottawa, Ohio |
| Authorized Official Name and Position | Jeffrey S Eiden (OWNER) |
| Authorized Official Contact | 4195230012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Putnam County Primary Care Llc Po Box 450718 Westlake OH 44145-0614 Ph: (800) 514-4390 | Putnam County Primary Care Llc 1740 N Perry St Suite A Ottawa OH 45875-1173 Ph: (419) 523-0012 |
| NPI Number | 1588760383 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588760383 | NPI | - | NPPES |
| DC4690 | Other | OH | RAILROAD CARE |
| 2502401 | Medicaid | OH | |
| 5597270001 | Other | OH | DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (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 Family Care At Ottawa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Putnam Pkwy, Ottawa, OH 45875 Phone: 419-523-9632 Fax: 419-224-1667 |