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PROMEDICA CONTINUING CARE SERVICES CORP NPI 1467447177


NPI Information

NPI: 1467447177
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:
1200 RALSTON AVE
DEFIANCE, OH
ZIP 43512
Phone: (419) 783-6973
Get Directions

PROMEDICA CONTINUING CARE SERVICES CORP is a durable medical equipment medical supplies in Defiance, 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 1467447177. 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:

1200 RALSTON AVE
DEFIANCE, OH
ZIP 43512-396
Phone: (419) 783-6973
Fax: (419) 783-4430

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
1139856OTHERMICHIGANTRINITY HEALTH PLANS
2707795OTHEROHIOBUCKEYE COMMUNITY
310133OTHEROHIOPARAMOUNT HEALTH CARE
4=========009OTHEROHIOTRICARE
54405016OTHERMICHIGANMI MEDICAID
6000000155945OTHEROHIOANTHEM
781337OTHEROHIONPN
80617660005MEDICARE NSCOHIO
9139856OTHERMICHIGANCARE CHOICES
100259250MEDICAIDOHIO

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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