| Fulcare Behavior Health | |
|
725 S Shoop Ave Wauseon OH 43567-1702 | |
| (419) 335-2015 | |
| (419) 330-2602 |
| Full Name | Fulcare Behavior Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 725 S Shoop Ave, Wauseon, Ohio |
| Authorized Official Name and Position | Jenee L Seibert (CFO) |
| Authorized Official Contact | 4193302606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulcare Behavior Health 725 S Shoop Ave Wauseon OH 43567-1702 Ph: (419) 335-2015 | Fulcare Behavior Health 725 S Shoop Ave Wauseon OH 43567-1702 Ph: (419) 335-2015 |
| NPI Number | 1952633026 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Medicare PECOS PAC ID | 5092615864 |
|---|---|
| Medicare Enrollment ID | O20090831000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952633026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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