Organization
HENRY COUNTY HOSPITAL PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WILSON (PFS MGR)
(419) 591-3836
Entity
Organization
Contact information
Practice address
1600 E RIVERVIEW AVE, NAPOLEON, OH 43545-9805
(419) 592-4015
(419) 591-3855
Mailing address
1600 E RIVERVIEW AVE, NAPOLEON, OH 43545-9805
(419) 592-4015
(419) 591-3855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704741
—
OH
01
—
3613091
MEDICARE PART B PIN
OH
Enumeration date
01/16/2008
Last updated
03/19/2009
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