Medcentral Professional Foundation, Llc
LBN: Medcentral Professional Foundation, Llc
Medcentral Professional Foundation, Llc is an health care organization with primary practice located at 308 Glessner Avenue , Mansfield OH 44903-2269. The organization recently has 12 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Facial Plastic Surgery is the primary health care specialty.
Medcentral Professional Foundation, Llc can be contacted via phone (419) 526-8962, or through Chamberlain, Joseph L via phone (419) 526-8000.
Contact Information
Primary practice address
308 Glessner Avenue
Mansfield OH 44903-2269
Phone: (419) 526-8962
Fax: (419) 526-8834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 35-07-2694-D | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 35090672 | Ohio |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1841476942 |
|---|---|
| LBN Legal business name | Medcentral Professional Foundation, Llc |
| DBA Doing business as | |
| Authorized official | Chamberlain, Joseph L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2008 |
| Last updated | Sep 17th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841476942 | NPPES |
| Ohio | MEDICAID | 2810131 |
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