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:
Map and Directions
Authorized official contact:
Name: Chamberlain, Joseph L
Phone: (419) 526-8000

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841476942 NPPES
Ohio MEDICAID 2810131

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