| The Ellis House Group | |
|
40 S 2nd St Waterville OH 43566-1407 | |
| (419) 277-9843 | |
| (419) 710-8558 |
| Full Name | The Ellis House Group |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 40 S 2nd St, Waterville, Ohio |
| Authorized Official Name and Position | Bonien Sue Rodriguez (COO) |
| Authorized Official Contact | 4192779843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ellis House Group 40 S 2nd St Waterville OH 43566-1407 Ph: (419) 277-9843 | The Ellis House Group 40 S 2nd St Waterville OH 43566-1407 Ph: (419) 277-9843 |
| NPI Number | 1326539917 |
|---|---|
| Provider Enumeration Date | 05/20/2018 |
| Last Update Date | 05/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326539917 | NPI | - | NPPES |
| 0180404 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H483460 (Ohio) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
Steven B. Dood, M.d., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 South River Road, Waterville, OH 43566 Phone: 419-878-8513 Fax: 419-878-8515 | |
Waterville Family Physicians Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Waterville Monclova Rd, Ste A, Waterville, OH 43566 Phone: 419-878-2026 Fax: 419-878-3236 |