PROMEDICA CENTRAL PHYSICIANS LLC NPI 1285168450

NPI Information

NPI: 1285168450
Provider Name: PROMEDICA CENTRAL PHYSICIANS LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 36D2176407

Address:
217 GOLDEN GATE PLZ
MAUMEE, OH
ZIP 43537
Phone: (567) 585-0210
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PROMEDICA CENTRAL PHYSICIANS LLC is an urgent care clinic center in Maumee, OH. PROMEDICA CENTRAL PHYSICIANS LLC NPI is 1285168450. The provider is registered as an organization entity type.

The provider's business location address is:

217 GOLDEN GATE PLZ
MAUMEE, OH
ZIP 43537-881
Phone: (567) 585-0210
Fax: (419) 794-4604

The provider's authorized official is Lorraine Mccune .
The authorized official title is Credentialing Coordinator and has the following contact phone number (567) 585-1964.

The CLIA number assigned to this NPI record is 36D2176407 - other - worksite and community te with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 7/21/2022.

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	261QU0200X	Clinic/Center	Urgent Care			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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