Western Lucas County Clinic

LBN: Lucas County Auditor
Western Lucas County Clinic is an health care organization with primary practice located at 330 Oak Terrace Blvd , Holland OH 43528-8993. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. Lucas County Auditor can be contacted via phone (419) 213-4049, or through Pongtana, Bob via phone (419) 213-4049.

Contact Information

Primary practice address
330 Oak Terrace Blvd Holland OH 43528-8993
Phone: (419) 213-4049
Fax: (419) 213-4017
Website:
Map and Directions
Authorized official contact:
Name: Pongtana, Bob
Phone: (419) 213-4049

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1841274008
LBN Legal business name Lucas County Auditor
DBA Doing business as Western Lucas County Clinic
Authorized official Pongtana, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841274008 NPPES
Ohio MEDICAID 0262246
Ohio Other 10250
Ohio Other 727681

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