Midwest Health Services INC.
Preferred Provider Organization in Massillon, OH. Organization (NPI-2).
NPI number1285864751
StatusActive
Last updated in NPPESFeb 13, 2012
Details
- NPI
- 1285864751
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Health Services INC.
- Organization subpart
- No
- Enumeration date
- Jul 20, 2009
- Last updated
- Feb 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | 7610713 | OH | Yes |
Other names
- Midwest Health Services Home 2 (Other Name)
Practice location
1608 Forest Ave SeMassillon, OH 44646-8330
Phone 330-832-2797
Mailing address
11 Lincoln Way WSte 5a
Massillon, OH 44647-6585
Phone 330-832-9582 · Fax 330-833-7732
Authorized official
Jospeh Knetzer
Owner
3308329582
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