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NPI Code Detail

MEDICARE: HCF OF SHAWNEE, INC.

MEDICARE: HCF OF SHAWNEE, INC.
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1922326388
Entity Type Code : Organization
Provider Name (Legal Business Name) : HCF OF SHAWNEE, INC.
Provider Business Mailing Address
First Line : 2535 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2535 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3728
Country : US
Telephone Number : 419-999-2010
Fax Number :
Authorized Official
Title or Position : VP
Name : DAVID WALSH
Credential :
Telephone Number : 419-999-2010
Provider Enumeration Date : 05/11/2010
Last Update Date : 05/11/2010

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