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Van Wert Medical Services, Ltd.

Clinic/Center in Van Wert, OH. Organization (NPI-2).

NPI number1982107975
StatusActive
Last updated in NPPESMar 15, 2018

Details

NPI
1982107975
Entity type
Organization (NPI-2)
Legal business name
Van Wert Medical Services, Ltd.
Organization subpart
No
Enumeration date
Mar 15, 2018
Last updated
Mar 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)––
261QR0200X Clinic/Center, Radiology––
261QR0400X Clinic/Center, Rehabilitation––
261QX0100X Clinic/Center, Occupational Medicine––
291U00000X Clinical Medical Laboratory––

Other names

  • Van Wert North (Doing Business As)

Practice location

214 Towne Center Blvd
Van Wert, OH 45891

Phone 419-238-2390

Mailing address

1250 S Washington St
Van Wert, OH 45891-2551

Phone 419-232-5279

Authorized official

Dawn Culp
Credentialing Specialist
4192325279

Is something wrong?

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