| Cordelia Martin Health Center | |
|
430 Nebraska Ave Toledo OH 43604-8540 | |
| (419) 255-7883 | |
| (419) 255-6438 |
| Full Name | Cordelia Martin Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 430 Nebraska Ave, Toledo, Ohio |
| Authorized Official Name and Position | Sandra D Miller-corbett (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 4197207883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordelia Martin Health Center 313 Jefferson Ave Toledo OH 43604-1004 Ph: (419) 720-7883 | Cordelia Martin Health Center 430 Nebraska Ave Toledo OH 43604-8540 Ph: (419) 255-7883 |
| NPI Number | 1518089762 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 5698686665 |
|---|---|
| Medicare Enrollment ID | O20030925000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518089762 | NPI | - | NPPES |
| 01403 | Other | OH | PARAMOUNT |
| 0824228 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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