VAN WERT MEDICAL SERVICES (NPI# 1053454314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053454314 |
| Entity Type | Organization |
| Organization Name | VAN WERT MEDICAL SERVICES |
| Practice Address |
506 S Main St Rockford OH 45882-9228 |
| Mailing Address |
1250 S Washington St Van Wert OH 45891-2551 |
| Practice Telephone | 4193633008 |
| Practice Fax Number | 4193632093 |
| Mailing Telephone | 4192325279 |
| Mailing Fax Number | 4192380692 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | MRS. KELLY KAY SUTTON (OFFICE MANAGER) |
| Authorized Official Telephone | 4193633008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 398291 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2115259 | 05 | |
| OH | 0349680 | 05 |
| Street Address |
506 S MAIN ST |
| City | ROCKFORD |
| State | OH |
| Zip Code | 45882-9228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183591 | Jerry D Sell | Family Medicine | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| 1851810212 | Lisa Renee Rolfes | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-09-16 |
| 1740704857 | Benjamin Keith Gudorf | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-07-31 |
| 1275537045 | Rona M. Dellinger | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366531444 | John K Granger | Dentist | 160 E Walnut St, Rockford, OH 45882-0314 | 2006-10-12 |
| 1205881661 | The Laurels of Rockford, Inc. | Nursing Facility/Intermediate Care Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-05-24 |
| 1376144782 | Shane Hill Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2020-11-03 |
| 1952483455 | The Laurels of Rockford, Inc. | Durable Medical Equipment & Medical Supplies | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-10-20 |
| 1740600964 | Matt Dapore | Nursing Home Administrator | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-04-28 |
| 1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
| 1417369760 | Colonial Healthcare LLC | Skilled Nursing Facility | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-05-21 |
| 1134421456 | Rockford Healthcare Group, Inc. | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2010-11-18 |
| 1679706642 | Parkway Local Schools | Local Education Agency (LEA) | 400 Buckeye St, Rockford, OH 45882-9267 | 2009-08-25 |
| 1154720407 | Tara May | Occupational Therapy Assistant | 400 Buckeye St, Rockford, OH 45882-9267 | 2014-08-21 |
| Find all providers in zip 45882 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053615054 | Lisa Diane Kehoe | Specialist | 1745 Williamsburg Rd, Rockford, IL 61107-2445 | 2011-01-05 |
| 1134445489 | Sanford Bruce Mer | Specialist | 3008 Spring Creek Rd, Rockford, IL 61107-1061 | 2010-04-12 |
| 1225351935 | Rhiannon Marie Deyoung | Specialist | 8450 Algoma Ave Ne Ste Aaa, Rockford, MI 49341-7508 | 2010-03-09 |
| 1689900169 | Jacqueline Michele Sharp | Specialist | 2204 Arthur Ave, Rockford, IL 61101-5224 | 2009-10-19 |
| 1184869893 | Joseph Gerard Lynch | Specialist | 8081 Ravenrock Rd, Rockford, MN 55373-9394 | 2008-12-09 |
| 1548438344 | Helen Wiedemer Laib | Specialist | 4804 Innsbruck Dr, Rockford, IL 61114-7312 | 2008-02-14 |
| 1962609859 | Sandra Rebecca Hallman | Specialist | 6017 Abington Dr, Rockford, IL 61109-2757 | 2007-07-02 |
| 1558481366 | Mark Theodore Peterson | Specialist | 5712 Newburg Rd, Rockford, IL 61108-6707 | 2007-03-29 |
| 1801913769 | Megan D Lindley | Specialist | 610 Vale Ave, Rockford, IL 61107-4656 | 2007-03-24 |
| 1841335072 | Ob-gyn Associates (rockford) Ltd. | Specialist | 1016 Featherstone Road, Rockford Ambulatory Surgery Center, Rockford, IL 61107 | 2007-02-21 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.