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NPI Code Detail

MEDICARE: CHASITY CAMPBELL

MEDICARE: CHASITY CAMPBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1558211193
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASITY CAMPBELL
Provider Business Mailing Address
First Line : 3170 W CENTRAL AVE STE G
Second Line :
City : TOLEDO
State : OH
Zip : 43606-2945
Country : US
Telephone Number : 567-803-9706
Fax Number : 567-803-9706
Provider Business Practice Location Address
First Line : 3170 W CENTRAL AVE STE G
Second Line :
City : TOLEDO
State : OH
Zip : 43606-2945
Country : US
Telephone Number : 567-803-9706
Fax Number : 567-803-9706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ CHASITY CAMPBELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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