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HAGERMAN FAMILY PHYSICIANS INC NPI 1538266739


NPI Information

NPI: 1538266739
Provider Name: HAGERMAN FAMILY PHYSICIANS, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D1106247

Address:
128 DEPOT ST
WAUSEON, OH
ZIP 43567
Phone: (419) 335-0351
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HAGERMAN FAMILY PHYSICIANS, INC is a primary care clinic center in Wauseon, OH. HAGERMAN FAMILY PHYSICIANS, INC NPI is 1538266739. The provider is registered as an organization entity type.

The provider's business location address is:

128 DEPOT ST
WAUSEON, OH
ZIP 43567-305
Phone: (419) 335-0351
Fax: (419) 335-0397

The provider's authorized official is Kimberly L Hagerman .
The authorized official title is Owner and has the following contact phone number (419) 335-0351.

The CLIA number assigned to this NPI record is 36D1106247 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/16/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care35082560OHIONo
2261QP2300XClinic/CenterPrimary Care35076863OHIOYes

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: 5/5/2024

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