Organization Name: | REGIONAL HEALTH PARTNERS LLC |
NPI Number: | 1578805743 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA C OLDEROG (DIRECTOR OD BUSINESS OPERATIONS) |
Mailing Address: | 336 Front St Galva |
State: | IL US |
Postal Code: | 614341365 |
Phone Number: | 3099323101 |
Fax Number: | 3099323154 |
NPI Enumeration Date: | 03/26/2013 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |