Organization
G T B MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE M BETZ (OFFICE MANAGER VICE PRESIDENT)
(330) 225-2551
Entity
Organization
Contact information
Practice address
366 PEARL ROAD, BRUNSWICK, OH 44212-1120
(330) 225-2551
(330) 220-8965
Mailing address
366 PEARL ROAD, BRUNSWICK, OH 44212-1120
(330) 225-2551
(330) 220-8965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
648650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155598
ANTHEM BLUE CROSS
—
05
—
0738241
—
OH
Enumeration date
12/12/2006
Last updated
08/22/2020
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