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FALLEN TIMBERS FAMILY PHYSICIANS NPI 1760463996


NPI Information

NPI: 1760463996
Provider Name: FALLEN TIMBERS FAMILY PHYSICIANS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2116860

Address:
5705 MONCLOVA RD
MAUMEE, OH
ZIP 43537
Phone: (419) 893-3321
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FALLEN TIMBERS FAMILY PHYSICIANS is a family medicine in Maumee, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FALLEN TIMBERS FAMILY PHYSICIANS NPI is 1760463996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5705 MONCLOVA RD
MAUMEE, OH
ZIP 43537-875
Phone: (419) 893-3321
Fax: (419) 897-1316

The provider's authorized official is Donna F Hostetler .
The authorized official title is Practice Manager and has the following contact phone number (419) 893-3321.

The CLIA number assigned to this NPI record is 36D2116860 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2005 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineYes

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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