| Genoa Medical Center | |
|
22614 W State Route 51 Genoa OH 43430-1143 | |
| (419) 855-7772 | |
| (419) 855-4800 |
| Full Name | Genoa Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 22614 W State Route 51, Genoa, Ohio |
| Authorized Official Name and Position | Neiman Toufek Odeh (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 4198557772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genoa Medical Center 22614 W State Route 51 Genoa OH 43430-1143 Ph: (419) 855-7772 | Genoa Medical Center 22614 W State Route 51 Genoa OH 43430-1143 Ph: (419) 855-7772 |
| NPI Number | 1750374070 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750374070 | NPI | - | NPPES |
| 2169059 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35075834 (Ohio) | Primary |