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FIRELANDS REGIONAL MEDICAL CENTER FAMILY PRACTICE CLINIC NPI 1083896773


NPI Information

NPI: 1083896773
Provider Name: FIRELANDS REGIONAL MEDICAL CENTER FAMILY PRACTICE CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1912 HAYES AVE
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-7184
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FIRELANDS REGIONAL MEDICAL CENTER FAMILY PRACTICE CLINIC is a primary care clinic center in Sandusky, OH. FIRELANDS REGIONAL MEDICAL CENTER FAMILY PRACTICE CLINIC NPI is 1083896773. The provider is registered as an organization entity type.

The provider's business location address is:

1912 HAYES AVE
SANDUSKY, OH
ZIP 44870-736
Phone: (419) 557-7184
Fax: (419) 557-7109

The provider's authorized official is Sandie Beal .
The authorized official title is Director, Managed Practices and has the following contact phone number (419) 557-5126.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.


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
1261QP2300XClinic/CenterPrimary CareOHIOYes

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
12368272MEDICAIDOHIO
29330731MEDICARE PINOHIO

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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