1730371600 NPI number — PROMEDICA CENTRAL PHYSICIANS,LLC

Table of content: (NPI 1730371600)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730371600 NPI number — PROMEDICA CENTRAL PHYSICIANS,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROMEDICA CENTRAL PHYSICIANS,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730371600
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/29/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 TURTLE CREEK CIR
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
SWANTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43558-8591
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-825-2387
Provider Business Mailing Address Fax Number:
419-825-3783

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 TURTLE CREEK CIR
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
SWANTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43558-8591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-825-2387
Provider Business Practice Location Address Fax Number:
419-825-3783
Provider Enumeration Date:
08/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GOVAN
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING COORDINATOR
Authorized Official Telephone Number:
419-824-7221

Provider Taxonomy Codes

  • Taxonomy code: 207VM0101X , with the licence number:  35086025 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4036950014 . This is a "DMERC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: PENDING . This is a "MMOH" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: PENDING . This is a "PARAMOUNT" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: PENDING . This is a "TRICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: PENDING . This is a "AETNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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