PATRIOT HOUSECALL INC NPI 1245614536

NPI Information

NPI: 1245614536
Provider Name: PATRIOT HOUSECALL, INC

Doing Business As: INDEPENDENCE VISITING PRIMARY CARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
986 TIBBETTS WICK RD
GIRARD, OH
ZIP 44420
Phone: (330) 306-9651
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PATRIOT HOUSECALL, INC is a family nurse practitioner in Girard, OH. PATRIOT HOUSECALL, INC NPI is 1245614536. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Independence Visiting Primary Care.

The provider's business location address is:

986 TIBBETTS WICK RD
GIRARD, OH
ZIP 44420-120
Phone: (330) 306-9651
Fax: (330) 395-0133

The provider's authorized official is Gregory Davis .
The authorized official title is Owner and has the following contact phone number (330) 306-9651.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 8/5/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	363LF0000X	Nurse Practitioner	Family			Yes

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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