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Organization
FIRELANDS REGIONAL MEDICAL CENTER
Active
Organization
FIRELANDS REGIONAL MEDICAL CENTER
Active
Other names
Firelands Counseling & Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MOORE (EXECUTIVE VICE PRESIDENT LEGAL)
(419) 557-7400
Entity
Organization
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4793
(419) 557-5177
(419) 557-5169
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4793
(419) 557-5177
(419) 557-5169
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OH
261QM0850X
Adult Mental Health Clinic/Center
—
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168
MACSIS UPI
OH
05
—
3293725
—
OH
Enumeration date
05/11/2006
Last updated
02/08/2023
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