| Bryan Mobile Health Van | |
|
228 S Main St Bryan OH 43506-1755 | |
| (567) 239-4562 | |
| (419) 225-8878 |
| Full Name | Bryan Mobile Health Van |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 228 S Main St, Bryan, Ohio |
| Authorized Official Name and Position | Janis Sunderhaus (CEO) |
| Authorized Official Contact | 4195160327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Mobile Health Van 441 E 8th St Lima OH 45804-2482 Ph: (419) 221-3072 | Bryan Mobile Health Van 228 S Main St Bryan OH 43506-1755 Ph: (567) 239-4562 |
| NPI Number | 1811460496 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811460496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Bryan Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 S Main St, Bryan, OH 43506 Phone: 567-239-4562 Fax: 419-225-8878 | |
Bryan Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 S Main St, Bryan, OH 43506 Phone: 419-785-3827 Fax: 419-549-5670 |