| Firestone Health Care Inc | |
|
2364 Southeast Blvd Salem OH 44460 | |
| (330) 332-4833 | |
| (330) 332-8220 |
| Full Name | Firestone Health Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2364 Southeast Blvd, Salem, Ohio |
| Authorized Official Name and Position | Thomas D Vrable (SECRETARY) |
| Authorized Official Contact | 3304269484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firestone Health Care Inc Po Box 429 132 North Market Street East Palestine OH 44413 Ph: (330) 426-9484 | Firestone Health Care Inc 2364 Southeast Blvd Salem OH 44460 Ph: (330) 332-4833 |
| NPI Number | 1285712307 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285712307 | NPI | - | NPPES |
| 2219307 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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