Berea Family Medicine, Inc in Berea - Family Medicine
Berea Family Medicine, Inc - NPI 1629190921
Berea Family Medicine, Inc is a Family Medicine in Berea, Ohio. Berea Family Medicine, Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Berea Family Medicine, Inc is 1629190921. The last update date is 2010-10-20.
Berea Family Medicine, Inc's current location address is 853 W Bagley Rd, Berea, Ohio. You can contact this provider via phone number 4402340502 and fax number 4402340590. The mailing address for Berea Family Medicine, Inc is 853 W Bagley Rd, Berea, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Berea Family Medicine, Inc |
|---|---|
| Address | 853 W Bagley Rd, Berea, Ohio |
| Phone Number | 4402340502 |
| Fax Number | 4402340590 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Wiggenhorn Mary Ellen |
| Credentials | LPN |
| Telephone Number | 4402340502 |
NPI Number Detail
| NPI Number | 1629190921 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2010-10-20 |
Provider Mailing Address Detail
| Address | 853 W Bagley Rd |
|---|---|
| City | Berea |
| State | Ohio (OH) |
| Post Code | 440172903 |
| Phone Number | 4402340502 |
| Fax Number | 4402340590 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35049545 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2849172 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Berea Family Medicine, Inc?
The Berea Family Medicine, Inc has been issued the NPI (National Provider Identifier) 1629190921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Berea Family Medicine, Inc's facilities are situated?
The facilities of Berea Family Medicine, Inc are physically located at the following address: 853 W Bagley Rd, Berea, OH, 440172903.
What is the Berea Family Medicine, Inc's area of specialization and corresponding taxonomy classification?
The Berea Family Medicine, Inc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Berea Family Medicine, Inc receive its 1629190921?
The Berea Family Medicine, Inc was issued its 1629190921 on 2007-04-06, which is the date when the organization was assigned this unique identifier.
When was the information regarding Berea Family Medicine, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Berea Family Medicine, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-10-20.
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