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PROMEDICA CONTINUING CARE SERVICES CORP NPI 1184619801


NPI Information

NPI: 1184619801
Provider Name: PROMEDICA CONTINUING CARE SERVICES CORP

Doing Business As: PROMEDICA HOME MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
601 PARKWAY DR
FOSTORIA, OH
ZIP 44830
Phone: (419) 436-0004
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PROMEDICA CONTINUING CARE SERVICES CORP is a durable medical equipment medical supplies in Fostoria, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROMEDICA CONTINUING CARE SERVICES CORP NPI is 1184619801. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Home Medical Equipment.

The provider's business location address is:

601 PARKWAY DR
FOSTORIA, OH
ZIP 44830-592
Phone: (419) 436-0004
Fax: (419) 436-8190

The provider's authorized official is Gladeen A Roberts .
The authorized official title is President and has the following contact phone number (419) 469-3780.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 2/10/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
110133OTHEROHIOPARAMOUNT HEALTH CARE
2=========009OTHEROHIOTRICARE
381337OTHEROHIONPN
44405016MEDICAIDMICHIGAN
52828668MEDICAIDOHIO
6707795OTHEROHIOBUCKEYE COMMUNITY
7000000155945OTHEROHIOANTHEM
80617660006MEDICARE 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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