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Organization

FIRELANDS REGIONAL MEDICAL CENTER FAMILY PRACTICE CLINIC

Active
Parent organization
FIRELANDS REGIONAL MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIRELANDS REGIONAL MEDICAL CENTER
Authorized official
MRS. SANDIE BEAL RN (DIRECTOR, MANAGED PRACTICES)
(419) 557-5126
Entity
Organization

Contact information

Practice address
1912 HAYES AVE, SANDUSKY, OH 44870-4736
(419) 557-7184
(419) 557-7109
Mailing address
1912 HAYES AVE, SANDUSKY, OH 44870-4736
(419) 557-7184
(419) 557-7109

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2368272
OH
Enumeration date
12/04/2007
Last updated
12/04/2007
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