| United Church Homes, Inc. | |
|
170 E Center St Marion OH 43302-3815 | |
| (740) 382-4885 | |
| (740) 382-4884 |
| Full Name | United Church Homes, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 170 E Center St, Marion, Ohio |
| Authorized Official Name and Position | John Kevin Renner (SEVP / CFO) |
| Authorized Official Contact | 7402232031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Church Homes, Inc. Po Box 1806 Marion OH 43301-1806 Ph: (740) 382-4885 | United Church Homes, Inc. 170 E Center St Marion OH 43302-3815 Ph: (740) 382-4885 |
| NPI Number | 1811733280 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Medicare PECOS PAC ID | 2062514193 |
|---|---|
| Medicare Enrollment ID | O20240821004083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811733280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Aruna P Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285620252 PECOS PAC ID: 8527044783 Enrollment ID: I20040628000987 |
| Provider Name | Latha Venkatesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760487979 PECOS PAC ID: 6305846502 Enrollment ID: I20070112000128 |
| Provider Name | Richard R Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314421 PECOS PAC ID: 1456440270 Enrollment ID: I20100910001053 |
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