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NPI Code Detail

MEDICARE: HEALTH PARTNERS OF WESTERN OHIO

MEDICARE: HEALTH PARTNERS OF WESTERN OHIO
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
1333600000XPharmacy
23336C0002XClinic Pharmacy
33336C0003XCommunity/Retail Pharmacy022286400OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12139327OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578802211
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH PARTNERS OF WESTERN OHIO
Provider Business Mailing Address
First Line : 329 N WEST ST
Second Line :
City : LIMA
State : OH
Zip : 45801-4331
Country : US
Telephone Number : 419-221-3072
Fax Number : 419-549-5670
Provider Business Practice Location Address
First Line : 228 S MAIN ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1755
Country : US
Telephone Number : 567-239-4560
Fax Number : 419-519-3049
Authorized Official
Title or Position : CEO
Name : JANIS SUNDERHAUS
Credential :
Telephone Number : 419-221-3072
Provider Enumeration Date : 01/31/2013
Last Update Date : 09/28/2023

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Directions to “HEALTH PARTNERS OF WESTERN OHIO ” Practice Location

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