Provider Type Icon

PAULDING MEDICAL CENTER INC. NPI 1619298924


NPI Information

NPI: 1619298924
Provider Name: PAULDING MEDICAL CENTER, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
11550 STATE ROUTE 500
PAULDING, OH
ZIP 45879
Phone: (419) 399-2630
Get Directions

PAULDING MEDICAL CENTER, INC. is a general practice in Paulding, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PAULDING MEDICAL CENTER, INC. NPI is 1619298924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11550 STATE ROUTE 500
PAULDING, OH
ZIP 45879-173
Phone: (419) 399-2630
Fax: (419) 399-3039

The provider's authorized official is Frederic Charles Hendrickson .
The authorized official title is Owner and has the following contact phone number (419) 399-2630.

The enumeration date for this NPI number is 6/21/2010 and was last updated on 6/21/2010.


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
1208D00000XGeneral Practice34-005455OHIOYes

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
1E87924MEDICARE UPIN
20853170MEDICAIDOHIO
3HE0174171MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.