Organization
MIDWEST COMMUNITY HEALTH ASSOCIATES, INC.
Active
Other names
Midwest Community Health Associates Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE E BRADBEE (AUTHORIZED OFFICIAL)
(260) 373-7854
Entity
Organization
Contact information
Practice address
442 W HIGH ST STE 3, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8210
(260) 458-5636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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