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PROMEDICA CENTRAL PHYSICIANS LLC NPI 1376684688


NPI Information

NPI: 1376684688
Provider Name: PROMEDICA CENTRAL PHYSICIANS, LLC

Doing Business As: RIVER ROAD FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2287779

Address:
1601 BRIGHAM DR
SUITE 250
PERRYSBURG, OH
ZIP 43551
Phone: (419) 872-5865
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PROMEDICA CENTRAL PHYSICIANS, LLC is a family medicine in Perrysburg, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROMEDICA CENTRAL PHYSICIANS, LLC NPI is 1376684688. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As River Road Family Physicians.

The provider's business location address is:

1601 BRIGHAM DR
SUITE 250
PERRYSBURG, OH
ZIP 43551-114
Phone: (419) 872-5865
Fax: (419) 874-7758

The provider's authorized official is Kenya Dixon .
The authorized official title is Credentialing Assistant and has the following contact phone number (419) 824-7288.

The CLIA number assigned to this NPI record is 36D2287779 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 2/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PR9302279MEDICARE ID-TYPE UNSPECIFIEDOHIO
24036950010MEDICARE NSCOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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