Organization
LUCAS COUNTY AUDITOR
Active
Organization
LUCAS COUNTY AUDITOR
Active
Other names
WESTERN LUCAS COUNTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BOB PONGTANA (DIRECTOR, ADMINISTRATIVE SERVICES)
(419) 213-4049
Entity
Organization
Contact information
Practice address
330 OAK TERRACE BLVD, HOLLAND, OH 43528-8993
(419) 213-4049
(419) 213-4017
Mailing address
635 N ERIE ST, ATTN BILLING KATHY, TOLEDO, OH 43604-1317
(419) 213-4049
(419) 213-4017
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262246
—
OH
01
—
10250
PARAMOUNT PROVIDER ID
OH
01
—
727681
BUCKEYE PROVIDER ID
OH
Enumeration date
12/01/2005
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up