| Delany's Healthcare | |
|
390 Marion Ave Mansfield OH 44903-2015 | |
| (419) 775-7534 | |
| (419) 775-7537 |
| Full Name | Delany's Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 390 Marion Ave, Mansfield, Ohio |
| Authorized Official Name and Position | Vicki Marie Delany (OWNER) |
| Authorized Official Contact | 4197757534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delany's Healthcare 390 Marion Ave Mansfield OH 44903-2015 Ph: (419) 775-7534 | Delany's Healthcare 390 Marion Ave Mansfield OH 44903-2015 Ph: (419) 775-7534 |
| NPI Number | 1497373864 |
|---|---|
| Provider Enumeration Date | 07/11/2020 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 9830519503 |
|---|---|
| Medicare Enrollment ID | O20201019001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497373864 | NPI | - | NPPES |
| Provider Name | Vicki M Delany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851521959 PECOS PAC ID: 3870637028 Enrollment ID: I20100225000656 |
| Provider Name | Lisa D Kisaberth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831569078 PECOS PAC ID: 9739482985 Enrollment ID: I20160121000788 |
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