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NPI Code Detail

MEDICARE: HENRY COUNTY PATHOLOGY SERVICES, PC

MEDICARE: HENRY COUNTY PATHOLOGY SERVICES, PC
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003893173
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENRY COUNTY PATHOLOGY SERVICES, PC
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 1000 N 16TH ST
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-4319
Country : US
Telephone Number : 765-521-1154
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. HELEN STEUSSY
Credential : MD
Telephone Number : 765-521-1154
Provider Enumeration Date : 12/29/2005
Last Update Date : 10/31/2013

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Directions to “HENRY COUNTY PATHOLOGY SERVICES, PC ” Practice Location

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