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NPI Code Detail

MEDICARE: WINDSOR MEDICAL CENTER, INC.

MEDICARE: WINDSOR MEDICAL CENTER, 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
1314000000XSkilled Nursing Facility
2313M00000XNursing Facility/Intermediate Care Facility0166NOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10166NOTHEROHNURSING FACILITY LICENSE

General Provider Information

NPI Number : 1649467648
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDSOR MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 1454 E MAPLE ST
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-2634
Country : US
Telephone Number : 330-499-8300
Fax Number : 330-966-8300
Provider Business Practice Location Address
First Line : 1454 E MAPLE ST
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-2634
Country : US
Telephone Number : 330-499-8300
Fax Number : 330-966-8300
Authorized Official
Title or Position : PRESIDENT
Name : MR. THOMAS ROBERT SWALLEN
Credential : LNHA
Telephone Number : 330-499-8300
Provider Enumeration Date : 10/03/2007
Last Update Date : 07/22/2013

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Directions to “WINDSOR MEDICAL CENTER, INC. ” Practice Location

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