Maranatha Medical Center

LBN: Visionary Health By M2C
Maranatha Medical Center is an health care organization with primary practice located at 5900 N Main St , Dayton OH 45415-3150. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Visionary Health By M2C can be contacted via phone (937) 271-3250, or through Corradine, Martha Monica via phone (937) 271-3250.

Contact Information

Primary practice address
5900 N Main St Dayton OH 45415-3150
Phone: (937) 271-3250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corradine, Martha Monica Doctor of Medicine (MD)
Phone: (937) 271-3250

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1245724236
LBN Legal business name Visionary Health By M2C
DBA Doing business as Maranatha Medical Center
Authorized official Corradine, Martha Monica Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2018
Last updated Jun 21st, 2018 - about 6 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 1245724236 NPPES
Ohio MEDICAID 2052380
Ohio Other CO4083015

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