| Wildcat Health Center | |
|
200 Harding Ave Kenton OH 43326-1669 | |
| (419) 673-1286 | |
| (419) 225-8878 |
| Full Name | Wildcat Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Harding Ave, 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 Health Center 329 N West St Lima OH 45801-4332 Ph: (419) 221-3072 | Wildcat Health Center 200 Harding Ave Kenton OH 43326-1669 Ph: (419) 673-1286 |
| NPI Number | 1952754392 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 9436139987 |
|---|---|
| Medicare Enrollment ID | O20160922002889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952754392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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