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PROMEDICA CONTINUING CARE SERVICES CORP NPI 1497822092


NPI Information

NPI: 1497822092
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:
2751 BAY PARK DR
SUITE 110
OREGON, OH
ZIP 43616
Phone: (419) 690-7572
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PROMEDICA CONTINUING CARE SERVICES CORP is a durable medical equipment medical supplies in Oregon, 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 1497822092. 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:

2751 BAY PARK DR
SUITE 110
OREGON, OH
ZIP 43616-921
Phone: (419) 690-7572
Fax: (419) 697-2418

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 11/29/2006 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
10617660008MEDICARE NSCOHIO
210133OTHEROHIOPARAMOUNT
34405016MEDICAIDMICHIGAN
42828622MEDICAIDOHIO

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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