| Wildcat Elementary Health Center | |
|
631 Silver St Kenton OH 43326-1499 | |
| (419) 221-3072 | |
| Not Available |
| Full Name | Wildcat Elementary Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 631 Silver St, Kenton, Ohio |
| Authorized Official Name and Position | Janis L Sunderhaus (CEO) |
| Authorized Official Contact | 4192213072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildcat Elementary Health Center 329 N West St Lima OH 45801-4332 Ph: (419) 221-3072 | Wildcat Elementary Health Center 631 Silver St Kenton OH 43326-1499 Ph: (419) 221-3072 |
| NPI Number | 1598118937 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 9436139987 |
|---|---|
| Medicare Enrollment ID | O20161107001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598118937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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