MEDICARE: TIFFANY M FOERSTER

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1598611378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY M FOERSTER

Provider Business Mailing Address
First Line	:	13790 SMITH GOSHEN RD
Second Line	:
City	:	BELOIT
State	:	OH
Zip	:	44609-9263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	657 E STATE ST
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-2958
Country	:	US
Telephone Number	:	330-502-0712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ TIFFANY M FOERSTER ” Practice Location

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