Pediatric And Adolescent Gastroenterology And Nutrition Team
LBN: Promedica Central Physicians, Llc
Pediatric And Adolescent Gastroenterology And Nutrition Team is an health care organization with primary practice located at 2109 Hughes Dr Suite 860, Toledo OH 43606-3856. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty.
Promedica Central Physicians, Llc can be contacted via phone (419) 291-7010, or through Govan, Kimberly via phone (419) 824-7221.
Contact Information
Primary practice address
2109 Hughes Dr Suite 860
Toledo OH 43606-3856
Phone: (419) 291-7010
Fax: (419) 479-6917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | Ohio |
Profile Details
| NPI number | 1144365669 |
|---|---|
| LBN Legal business name | Promedica Central Physicians, Llc |
| DBA Doing business as | Pediatric And Adolescent Gastroenterology And Nutrition Team |
| Authorized official | Govan, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1144365669 | NPPES |
| Ohio | MEDICAID | 0999273 | |
| Ohio | Other | CI3157 | |
| Ohio | Other | 7075625 |
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