Organization
NORTH CENTRAL OHIO PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE M HALL (PRACTICE ADMINISTRATOR)
(419) 221-3385
Entity
Organization
Contact information
Practice address
770 W HIGH ST, SUITE 220, LIMA, OH 45801-5910
(419) 221-3385
(419) 221-3585
Mailing address
770 W HIGH ST, SUITE 220, LIMA, OH 45801-5910
(419) 221-3385
(419) 221-3585
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2680773
—
OH
01
—
7921886
AETNA
OH
01
—
DF0079
RAILROAD MEDICARE
OH
Enumeration date
06/23/2006
Last updated
07/18/2012
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