| Comprehensive Family Practice Of Columbiana Llc | |
|
1026 Williams Reserve Blvd Wadsworth OH 44281-9317 | |
| (330) 449-3300 | |
| (330) 449-3301 |
| Full Name | Comprehensive Family Practice Of Columbiana Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1026 Williams Reserve Blvd, Wadsworth, Ohio |
| Authorized Official Name and Position | Rhonda Kocinski (OWNER) |
| Authorized Official Contact | 3304103688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Family Practice Of Columbiana Llc 1026 Williams Reserve Blvd Wadsworth OH 44281-9317 Ph: (330) 449-3300 | Comprehensive Family Practice Of Columbiana Llc 1026 Williams Reserve Blvd Wadsworth OH 44281-9317 Ph: (330) 449-3300 |
| NPI Number | 1427306414 |
|---|---|
| Provider Enumeration Date | 08/22/2012 |
| Last Update Date | 05/12/2025 |
| Medicare PECOS PAC ID | 2466601869 |
|---|---|
| Medicare Enrollment ID | O20120928000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427306414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rhonda Kocinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003059031 PECOS PAC ID: 0244638278 Enrollment ID: I20211008000172 |
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