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GOOD SHEPHERD FAMILY& GERIATRIAC MEDICAL CENTER INC NPI 1649599408


NPI Information

NPI: 1649599408
Provider Name: GOOD SHEPHERD FAMILY& GERIATRIAC MEDICAL CENTER INC
Classification: Clinic/Center - 261QF0050X
Entity Type: Organization

Specialization: Family Planning, Non-Surgical

Address:
1661 HOLLAND RD
MAUMEE, OH
ZIP 43537
Phone: (630) 854-2515
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GOOD SHEPHERD FAMILY& GERIATRIAC MEDICAL CENTER INC is a family planning and non-surgical clinic center in Maumee, OH. The provider is an entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. GOOD SHEPHERD FAMILY& GERIATRIAC MEDICAL CENTER INC NPI is 1649599408. The provider is registered as an organization entity type.

The provider's business location address is:

1661 HOLLAND RD
MAUMEE, OH
ZIP 43537-207
Phone: (630) 854-2515
Fax: (419) 740-7288

The provider's authorized official is Kamal Nt Yoakim .
The authorized official title is Family Physician and has the following contact phone number (630) 854-2515.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 6/25/2010.


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
1261QF0050XClinic/CenterFamily Planning, Non-Surgical35093757OHIOYes

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
13043030MEDICAIDOHIO

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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