| Western Lucas County Clinic | |
|
330 Oak Terrace Blvd Holland OH 43528-8993 | |
| (419) 213-4049 | |
| (419) 213-4017 |
| Full Name | Western Lucas County Clinic |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 330 Oak Terrace Blvd, Holland, Ohio |
| Authorized Official Name and Position | Bob Pongtana (DIRECTOR, ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 4192134049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Lucas County Clinic 635 N Erie St Attn Billing Kathy Toledo OH 43604-1317 Ph: (419) 213-4049 | Western Lucas County Clinic 330 Oak Terrace Blvd Holland OH 43528-8993 Ph: (419) 213-4049 |
| NPI Number | 1841274008 |
|---|---|
| Provider Enumeration Date | 12/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841274008 | NPI | - | NPPES |
| 0262246 | Medicaid | OH | |
| 10250 | Other | OH | PARAMOUNT PROVIDER ID |
| 727681 | Other | OH | BUCKEYE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Holland Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 N Irwin Rd, Holland, OH 43528 Phone: 419-255-7883 Fax: 419-720-7895 | |
Springfield Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6819 Spring Valley Dr, Holland, OH 43528 Phone: 419-930-5700 | |
Workit Health (oh) Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6855 Spring Valley Dr Ste 110, Holland, OH 43528 Phone: 216-438-0283 Fax: 855-716-4494 | |
Toledo-lucas County Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Oak Terrace Blvd, Billing Department, Holland, OH 43528 Phone: 419-213-4049 Fax: 419-213-4220 | |
Duane J. Kerscher Jr., D.o. D.b.a. Springfield Clinic L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8133 Airport Hwy, Holland, OH 43528 Phone: 419-867-8263 |