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PRIMARY CARE OF NORTHWEST OHIO INC NPI 1427231430


NPI Information

NPI: 1427231430
Provider Name: PRIMARY CARE OF NORTHWEST OHIO, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
605 3RD AVE
BLG B STE D
FREMONT, OH
ZIP 43420
Phone: (419) 355-8070
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PRIMARY CARE OF NORTHWEST OHIO, INC is a family medicine in Fremont, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMARY CARE OF NORTHWEST OHIO, INC NPI is 1427231430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

605 3RD AVE
BLG B STE D
FREMONT, OH
ZIP 43420-269
Phone: (419) 355-8070
Fax: (419) 355-1109

The provider's authorized official is John Michael Mauric .
The authorized official title is President and has the following contact phone number (419) 355-8070.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 1/28/2014.


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
1207Q00000XFamily MedicineOHIOYes

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
1R04778OTHEROHIOSUMMACARE
2CH7959OTHEROHIORAILROAD MEDICARE
32256473MEDICAIDOHIO
4740142OTHEROHIOBUCKEYE MEDICAID
59316041MEDICARE 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: 11/14/2023

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