| Celina Family Practice | |
|
724 E Wayne St Celina HI 45822-0420 | |
| (419) 586-3113 | |
| (419) 586-6560 |
| Full Name | Celina Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 724 E Wayne St, Celina, Hawaii |
| Authorized Official Name and Position | Philip R Masser (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 4195863113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celina Family Practice Po Box 420 Celina OH 45822-0420 Ph: (419) 586-3113 | Celina Family Practice 724 E Wayne St Celina HI 45822-0420 Ph: (419) 586-3113 |
| NPI Number | 1861574873 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861574873 | NPI | - | NPPES |
| 4551168 | Other | HI | AETNA |
| 0609854 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |