HEALTH PROFESSIONALS OF HOLMES COUNTY INC NPI 1033387378

NPI Information

NPI: 1033387378
Provider Name: HEALTH PROFESSIONALS OF HOLMES COUNTY, INC

Doing Business As: POMERENE EXPRESS CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
4900 OAK STREET
BERLIN, OH
ZIP 44610
Phone: (330) 893-2754
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HEALTH PROFESSIONALS OF HOLMES COUNTY, INC is a rural health clinic center in Berlin, OH. HEALTH PROFESSIONALS OF HOLMES COUNTY, INC NPI is 1033387378. The provider is registered as an organization entity type.
The provider Is Doing Business As Pomerene Express Care.

The provider's business location address is:

4900 OAK STREET
BERLIN, OH
ZIP 44610
Phone: (330) 893-2754
Fax: (330) 893-1485

The provider's authorized official is Jason Justus .
The authorized official title is Chief Financial Officer and has the following contact phone number (330) 674-1015.

The CLIA number assigned to this NPI record is 36D0988751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 12/21/2011.

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
1	261QU0200X	Clinic/Center	Urgent Care			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2810444	MEDICAID	OHIO
2	HE 9369171	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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