Organization
MID-OHIO HEART CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN M. SCOTT CPC, CCS-P (BUSINESS MANAGER)
(419) 524-8151
Entity
Organization
Contact information
Practice address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 524-8151
(419) 524-2376
Mailing address
PO BOX 1257, MANSFIELD, OH 44901-1257
(419) 524-8151
(419) 524-2376
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703251
—
OH
Enumeration date
11/01/2005
Last updated
04/20/2008
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