| Organization Name: | CARNATION CLINIC INC |
| NPI Number: | 1114092814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RASARIO BAUTISTA (ADMINISTRATOR MGR) |
| Mailing Address: | 1401 S Arch Ave Alliance |
| State: | OH US |
| Postal Code: | 446014202 |
| Phone Number: | 3308210201 |
| Fax Number: | 3308211924 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 06/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |