Promedica Multi Specialty Physicians
LBN: Promedica Multi Specialty Physicians
Promedica Multi Specialty Physicians is an health care organization with primary practice located at 100 Madison Ave Msc-S38805, Toledo OH 43604-1531. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Promedica Multi Specialty Physicians can be contacted via phone (567) 585-1964, or through Mccune, Lorraine via phone (567) 585-1964.
Contact Information
Primary practice address
100 Madison Ave Msc-S38805
Toledo OH 43604-1531
Phone: (567) 585-1964
Fax: (419) 824-7359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Ohio | |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | Ohio | |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ||
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | Ohio | |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1306105150 |
|---|---|
| LBN Legal business name | Promedica Multi Specialty Physicians |
| DBA Doing business as | |
| Authorized official | Mccune, Lorraine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2012 |
| Last updated | Jul 11th, 2024 - about 2 months 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 | 1306105150 | NPPES |
| Ohio | MEDICAID | 0065185 |
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