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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
2251V00000XVoluntary or Charitable Agency1537OH
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center1537OH
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)1537OH

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 : 1164471082
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 R BOWEN
Credential : CPA - NON PRACTICE
Telephone Number : 330-264-9597
Provider Enumeration Date : 05/08/2006
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:
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
1073873923 — ANAZAO COMMUNITY PARTNERS
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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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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