MEDICARE: MRS. TAMMY RENA COLEMAN

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
1	164W00000X	Licensed Practical Nurse	PN-090988	OH

General Provider Information

NPI Number	:	1689791451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMMY RENA COLEMAN

Provider Business Mailing Address
First Line	:	1348 WINNERS CIRCLE NORTH #457
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906-1108
Country	:	US
Telephone Number	:	419-524-7269
Fax Number	:

Provider Business Practice Location Address
First Line	:	1348 WINNERS CIRCLE NORTH #457
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906-1108
Country	:	US
Telephone Number	:	419-524-7269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1649599119 — THIRD STREET COMMUNITY CLINIC, INC.
Practice Location Address:

770 BALGREEN DRIVE , SUITE 207
MANSFIELD, OH
44906-2633

Practice Phone: 419-522-6800
Practice Fax: 419-522-6816

1336252519 — THIRD STREET COMMUNITY CLINIC, INC.
Practice Location Address:

600 W. THIRD STREET
MANSFIELD, OH
44906-2633

Practice Phone: 419-522-6191
Practice Fax: 419-526-7939

1447619788 — THIRD STREET COMMUNITY CLINIC INC
Practice Location Address:

600 W 3RD ST
MANSFIELD, OH
44906-2633

Practice Phone: 419-522-6191
Practice Fax:

1386487403 — THIRD STREET COMMUNITY CLINIC INC
Practice Location Address:

600 W 3RD ST
MANSFIELD, OH
44906-2633

Practice Phone: 419-522-6191
Practice Fax:

1619710738 — THIRD STREET COMMUNITY CLINIC INC
Practice Location Address:

600 W 3RD ST
MANSFIELD, OH
44906-2633

Practice Phone: 419-522-6191
Practice Fax:

1437578804 — DR. CARLOS MOLINA ARRIOLA MD
Practice Location Address:

600 W 3RD ST
MANSFIELD, OH
44906

Practice Phone: 419-522-6191
Practice Fax: 419-525-6723

Directions to “ MRS. TAMMY RENA COLEMAN ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.