Organization
WOOD COUNTY AUDITOR
Active
Other names
Wood County Community Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY RUIVIVAR (CEO)
(419) 352-8402
Entity
Organization
Contact information
Practice address
1840 E GYPSY LANE RD, BOWLING GREEN, OH 43402-9173
(419) 352-8402
(419) 354-2169
Mailing address
1840 E GYPSY LANE RD, BOWLING GREEN, OH 43402-9173
(419) 352-8402
(419) 354-2169
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109234
—
OH
Enumeration date
12/02/2013
Last updated
08/16/2024
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