HEALTH SOURCE OF WARREN, INC. (NPI# 1952586075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952586075 |
| Entity Type | Organization |
| Organization Name | HEALTH SOURCE OF WARREN, INC. |
| Other Organization Name | HEALTHSOURCE OF SOUTH TOLEDO |
| Practice Address |
4400 Heatherdowns Blvd Toledo OH 43614-3147 |
| Practice Telephone | 4197201472 |
| Practice Fax Number | 4197201475 |
| Mailing Telephone | 4197201472 |
| Mailing Fax Number | 4197201475 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-12-08 |
| Authorized Official Name | DR. ROBERT E. RILEY (ASSOCIATE) |
| Authorized Official Telephone | 4197201472 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2743 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HealthSource of South Toledo | Doing Business As Name - Organization |
| Street Address |
4400 HEATHERDOWNS BLVD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255684684 | Chiropractic 419 LLC | Chiropractor | 4400 Heatherdowns Blvd, Suite 5a, Toledo, OH 43614-3147 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902392616 | Stillwater Medicine LLP | Clinic/Center | 300 Madison Ave Ste 1600, Toledo, OH 43604-2633 | 2018-07-05 |
| 1942336698 | Curaquick Clinic | Clinic/Center | 2725 W Central Ave, Toledo, OH 43606-3439 | 2007-02-26 |
| 1457311060 | West Toledo General Surgeons | Clinic/Center | 2109 Hughes Drive, Suite 220, Toledo, OH 43606 | 2006-03-27 |
| 1043823966 | Tracey Warren | Clinic/Center | 2525 W Bancroft St, Toledo, OH 43607-1311 | 2020-08-29 |
| 1427619089 | Omni Medical Services Inc | Clinic/Center | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2019-06-25 |
| 1336639046 | Wellcare Medical Services, LLC | Clinic/Center | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
| 1104052844 | Kathryn E. Boehm, Md, LLC | Clinic/Center | 3454 Oak Alley Ct, Suite 210, Toledo, OH 43606-1306 | 2009-06-09 |
| 1558515171 | Ohio Vascular Robotics, Inc. | Clinic/Center | 2109 Hughes Dr, Suite 800, Toledo, OH 43606-3856 | 2008-11-10 |
| 1659570406 | Valleybrook Clinic, Inc. | Clinic/Center | 2526 N Reynolds Rd, Toledo, OH 43615-2820 | 2007-07-12 |
| 1619182870 | Tlc Northwest Ohio LLC | Clinic/Center | 3000 Regency Ct, Ste. 100, Toledo, OH 43623-3092 | 2007-05-11 |
| Find all providers in TOLEDO | ||||
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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.