Organization Name: | HEALTH PARTNERS OF WESTERN OHIO |
NPI Number: | 1548407869 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORETTA J NEFF (CFO) |
Mailing Address: | 106 N Main St New Carlisle |
State: | OH US |
Postal Code: | 453441835 |
Phone Number: | 4192213072 |
Fax Number: | 4192258095 |
NPI Enumeration Date: | 01/08/2009 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 09/21/2010 |
NPI Reactivation Date: | 10/07/2010 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |