| Mary Rutan Pediatrics | |
|
118 Dowell Ave Bellefontaine OH 43311-2305 | |
| (937) 593-5437 | |
| (937) 593-0110 |
| Full Name | Mary Rutan Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 Dowell Ave, Bellefontaine, Ohio |
| Authorized Official Name and Position | Thomas Denbow (VP OF FINANCE AND DEVELOPMENT) |
| Authorized Official Contact | 9376516688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rutan Pediatrics 118 Dowell Ave Bellefontaine OH 43311-2305 Ph: (937) 593-5437 | Mary Rutan Pediatrics 118 Dowell Ave Bellefontaine OH 43311-2305 Ph: (937) 593-5437 |
| NPI Number | 1316785306 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 9032013792 |
|---|---|
| Medicare Enrollment ID | O20240827002567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316785306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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