Organization
OHIO HEART CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA L UTLAK (CEO)
(330) 492-2102
Entity
Organization
Contact information
Practice address
4455 DRESSLER RD NW, CANTON, OH 44718-2769
(330) 492-2102
(330) 492-7289
Mailing address
PO BOX 35608, CANTON, OH 44735-5608
(330) 492-2102
(330) 492-7289
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
754673
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0764276
—
OH
01
—
OH9929861
MEDICARE GROUP#
OH
Enumeration date
10/04/2007
Last updated
10/04/2007
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