# VAN WERT MEDICAL SERVICES, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VAN WERT MEDICAL SERVICES, LTD.
- **Other names:** Van Wert Medical Services, Ltd. Specialty
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467994541
- **Legal business name:** VAN WERT MEDICAL SERVICES, LTD.
- **Authorized official:** MICHAEL HOLLIDAY (FISCAL & ADMINISTRATIVE SERVICES)
- **Authorized official phone:** (419) 238-2390

## Contact information

- **Practice address:** 140 FOX RD, STE 209, VAN WERT, OH 45891-2475
- **Practice address phone:** (419) 238-8621
- **Practice address fax:** (419) 238-0424
- **Mailing address:** 140 FOX RD, STE 202, VAN WERT, OH 45891-2475
- **Mailing address phone:** (419) 238-6735
- **Mailing address fax:** (419) 232-5271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | 36002056 | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36002056 | OH | Yes |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2641903 | — | OH |