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NPI Code Detail

MEDICARE: ANAZAO COMMUNITY PARTNERS

MEDICARE: ANAZAO COMMUNITY PARTNERS
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
1251B00000XCase Management Agency1537OH
2251S00000XCommunity/Behavioral Health Agency1537OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12877196OTHEROHAOD PROVIDER #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073873923
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANAZAO COMMUNITY PARTNERS
Provider Business Mailing Address
First Line : 2587 BACK ORRVILLE RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-9523
Country : US
Telephone Number : 330-264-9597
Fax Number : 330-264-0946
Provider Business Practice Location Address
First Line : 2587 BACK ORRVILLE RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-9523
Country : US
Telephone Number : 330-264-9597
Fax Number : 330-264-0946
Authorized Official
Title or Position : OPERATIONS OFFICER
Name : MR. KEVIN RAY BOWEN
Credential : NON PRACTICING CPA
Telephone Number : 330-264-9597
Provider Enumeration Date : 05/25/2012
Last Update Date : 11/17/2014

Similar Medicare Providers

1205782505 — ALYSSA KATHERINE MORALES
Practice Location Address:
2587 BACK ORRVILLE RD
WOOSTER, OH
44691-9523
Practice Phone: 330-264-9597
Practice Fax:
1164471082 — ANAZAO COMMUNITY PARTNERS
Practice Location Address:
2587 BACK ORRVILLE RD
WOOSTER, OH
44691-9523
Practice Phone: 330-264-9597
Practice Fax: 330-264-0946
1184763146 — MR. MARK A YODER MA ED, LPCC
Practice Location Address:
2587 BACK ORRVILLE RD
WOOSTER, OH
44691-9523
Practice Phone: 330-264-9597
Practice Fax: 330-264-0946
1427239763 — RHONDA KAY MASCI PA
Practice Location Address:
2525 BACK ORRVILLE RD
WOOSTER, OH
44691-9523
Practice Phone: 330-264-4899
Practice Fax: 330-264-4874
1306093307 — RACHAEL E OYER LISWS
Practice Location Address:
2587 BACK ORRVILLE RD
WOOSTER, OH
44691-9523
Practice Phone: 330-264-9597
Practice Fax: 330-264-0946
1588913826 — LINDSAY BESANCON
Practice Location Address:
2587 BACK ORRVILLE RD
WOOSTER, OH
44691-9523
Practice Phone: 330-264-9597
Practice Fax: 330-264-0946

Directions to “ANAZAO COMMUNITY PARTNERS ” Practice Location

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