Organization
FIDELITY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA THOMPSON (PRESIDENT AND CEO)
(937) 208-6461
Entity
Organization
Contact information
Practice address
3170 KETTERING BLVD, MORAINE, OH 45439-1924
(937) 208-6400
Mailing address
3170 KETTERING BLVD, MORAINE, OH 45439-1924
(937) 208-6400
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0908236
—
OH
Enumeration date
10/10/2005
Last updated
10/03/2016
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