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HARTVILLE INTERNAL MEDICINE PA NPI 1689665044


NPI Information

NPI: 1689665044
Provider Name: HARTVILLE INTERNAL MEDICINE PA

Doing Business As: MINERVA MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 36D1025184

Address:
200 CAROLYN CT
MINERVA, OH
ZIP 44657
Phone: (330) 868-4184
Get Directions

HARTVILLE INTERNAL MEDICINE PA is an internal medicine in Minerva, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HARTVILLE INTERNAL MEDICINE PA NPI is 1689665044. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Minerva Medical Center.

The provider's business location address is:

200 CAROLYN CT
MINERVA, OH
ZIP 44657-758
Phone: (330) 868-4184
Fax: (330) 488-2907

The provider's authorized official is Amin Youssef Khalil .
The authorized official title is President and has the following contact phone number (330) 877-9388.

The CLIA number assigned to this NPI record is 36D1025184 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2005 and was last updated on 5/2/2012.


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
1207R00000XInternal MedicineYes

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
1=========0001OTHEROHIOMEDICAL MUTUAL
22535742MEDICAIDOHIO
3=========01OTHEROHIOBWC
4CH9840MEDICARE PINOHIO
5MI9318532MEDICARE PINOHIO
6000000342549OTHEROHIOANTHEM

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: 11/14/2023

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