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BUCYRUS INTERNAL MEDICINE INC. NPI 1538356357


NPI Information

NPI: 1538356357
Provider Name: BUCYRUS INTERNAL MEDICINE, INC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 36D0965683

Address:
510 HILL ST
BUCYRUS, OH
ZIP 44820
Phone: (419) 562-9834
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BUCYRUS INTERNAL MEDICINE, INC. is a medical specialty clinic center in Bucyrus, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BUCYRUS INTERNAL MEDICINE, INC. NPI is 1538356357. The provider is registered as an organization entity type.

The provider's business location address is:

510 HILL ST
BUCYRUS, OH
ZIP 44820-554
Phone: (419) 562-9834
Fax: (419) 562-9977

The provider's authorized official is Angela C Kraft .
The authorized official title is Office Manager and has the following contact phone number (419) 562-9834.

The CLIA number assigned to this NPI record is 36D0965683 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 1/29/2008.


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
1261QM2500XClinic/CenterMedical Specialty34005746OHIOYes

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
10931906MEDICAIDOHIO
29340571MEDICARE PIN

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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