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Contact Information

PROMEDICA CENTRAL PHYSICIANS,LLC
22 TURTLE CREEK CIR
SUITE E
SWANTON, OH43558-8591
 Phone: 419-825-2387
 Fax: 419-825-3783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PROMEDICA CENTRAL PHYSICIANS,LLC

NPI Number 1730371600
LBN Legal business name PROMEDICA CENTRAL PHYSICIANS,LLC
Authorized official KIMBERLY GOVAN - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2007
Last updated 11/29/2007 - About 19 years ago
Identifiers
OH License # 35086025
OH Other PENDING AETNA
OH Other 4036950014 DMERC
OH Other PENDING MMOH
OH Other PENDING PARAMOUNT
OH Other PENDING TRICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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