| Portage Regional Gastroenterology, Llc | |
|
330 N Chestnut St Ravenna OH 44266-2287 | |
| (330) 296-7256 | |
| (330) 296-0127 |
| Full Name | Portage Regional Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 330 N Chestnut St, Ravenna, Ohio |
| Authorized Official Name and Position | Michael S Cline (OWNER) |
| Authorized Official Contact | 3302967256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Regional Gastroenterology, Llc 330 N Chestnut St Ravenna OH 44266-2287 Ph: (330) 296-7256 | Portage Regional Gastroenterology, Llc 330 N Chestnut St Ravenna OH 44266-2287 Ph: (330) 296-7256 |
| NPI Number | 1235328980 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235328980 | NPI | - | NPPES |
| 0131593 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Partners Optical Supply Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 E Main St, Ravenna, OH 44266 Phone: 330-297-7733 Fax: 330-297-0170 | |
Robinson Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6847 N Chestnut St, Ravenna, OH 44266 Phone: 330-297-0811 | |
Axess Family Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 771 N Freedom St, Ravenna, OH 44266 Phone: 888-975-9188 | |
Mantua Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6693 N Chestnut St, 10a&b, Ravenna, OH 44266 Phone: 419-861-3451 Fax: 419-861-3451 | |
Torrence Hands Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Chestnut St, Ravenna, OH 44266 Phone: 216-682-5704 | |
Axess Family Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5968 New Milford Rd, Ravenna, OH 44266 Phone: 888-975-9188 |