| |
635 Broadway Ave Bedford OH 44146-3504 | |
(216) 889-7832 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 635 Broadway Ave, Bedford, Ohio |
Authorized Official Name and Position | Deairra D Taylor (CEO) |
Authorized Official Contact | 2165273630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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635 Broadway Ave Bedford OH 44146-3504 Ph: (216) 889-7832 | 635 Broadway Ave Bedford OH 44146-3504 Ph: (216) 889-7832 |
NPI Number | 1851100291 |
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Provider Enumeration Date | 12/31/2024 |
Last Update Date | 01/13/2025 |
Identifier | Type | State | Issuer |
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1851100291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Secondary |
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