CRESTLINE MEDICAL CENTER, INC (NPI# 1649455783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649455783 |
Entity Type | Organization |
Organization Name | CRESTLINE MEDICAL CENTER, INC |
Practice Address |
700 N Columbus St Crestline OH 44827 |
Practice Telephone | 4194714504 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2008-01-08 |
Authorized Official Name | MENDEL S REID (ADMINISTRATOR) |
Authorized Official Telephone | 4195714504 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Street Address |
700 N COLUMBUS ST |
City | CRESTLINE |
State | OH |
Zip Code | 44827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689806887 | Galion Community Hospital | Clinic/Center | 385 N. Seltzer Street, Crestline, OH 44827 | 2009-08-20 |
1396745444 | Mei Chiew Lai | Physical Medicine & Rehabilitation | 293 Chambers St, Crestline, OH 44827-1028 | 2005-07-29 |
1790762599 | Ningchen Liu | Family Medicine | 293 Chambers St, Crestline, OH 44827-1028 | 2005-12-22 |
1417264508 | Roberta J Miller | Licensed Practical Nurse | 411 Saint James St, Crestline, OH 44827-1141 | 2010-09-10 |
1619969300 | Patricia Diane Lydy | Chiropractor | 1329 County Line Rd, Crestline, OH 44827-1217 | 2005-08-18 |
1073792628 | Lydy Chiropractic, Inc. | Chiropractor | 1329 County Line Rd, Crestline, OH 44827-1217 | 2007-10-31 |
1295727980 | Mikel Dean Lydy | Chiropractor | 1329 County Line Rd, Crestline, OH 44827-1217 | 2005-08-18 |
1720221518 | Crista Stull | Licensed Practical Nurse | 371 Maple Dr, Crestline, OH 44827-1336 | 2009-04-09 |
1396705968 | Crystal Rose Caudill | Nurse's Aide | 515 N Pearl St, Crestline, OH 44827-1353 | 2006-03-27 |
1770822801 | Lisa Teynor | Physical Therapy Assistant | 349 N Henry St, Crestline, OH 44827-1362 | 2013-02-08 |
Find all providers in zip 44827 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1710522305 | Arlington Urgent Care Inc | Clinic/Center | 2216 E Main St, Bexley, OH 43209-2319 | 2019-11-07 |
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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.