| River East Community Health Center | |
|
117 Main Street Toledo OH 43605-2091 | |
| (419) 691-1322 | |
| (419) 720-7895 |
| Full Name | River East Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 Main Street, Toledo, Ohio |
| Authorized Official Name and Position | Sandra Miller-corbett (CEO) |
| Authorized Official Contact | 4197207883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River East Community Health Center 313 Jefferson Ave Toledo OH 43604-1004 Ph: (419) 720-7883 | River East Community Health Center 117 Main Street Toledo OH 43605-2091 Ph: (419) 691-1322 |
| NPI Number | 1063533164 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 02/16/2016 |
| Medicare PECOS PAC ID | 5698686665 |
|---|---|
| Medicare Enrollment ID | O20110106000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063533164 | NPI | - | NPPES |
| 0829367 | Medicaid | OH | |
| 02137 | Other | OH | PARAMOUNT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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