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WAKEMAN AREA FAMILY CARE CENTER NPI 1447201470


NPI Information

NPI: 1447201470
Provider Name: WAKEMAN AREA FAMILY CARE CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
24 HYDE ST
WAKEMAN, OH
ZIP 44889
Phone: (440) 839-2226
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WAKEMAN AREA FAMILY CARE CENTER is a family medicine in Wakeman, 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. WAKEMAN AREA FAMILY CARE CENTER NPI is 1447201470. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

24 HYDE ST
WAKEMAN, OH
ZIP 44889-301
Phone: (440) 839-2226
Fax: (440) 839-1339

The provider's authorized official is Laura Tanigawa .
The authorized official title is Office Manager and has the following contact phone number (440) 839-2226.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 12/19/2007.


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
1363A00000XPhysician Assistant50000956OHIONo
2363LF0000XNurse PractitionerFamilyNP08465OHIONo
3207Q00000XFamily Medicine35062083OHIOYes

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
12158481MEDICAIDOHIO
29297981MEDICARE 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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