Provider Type Icon

PRIMARY CARE CENTER INC NPI 1386733004


NPI Information

NPI: 1386733004
Provider Name: PRIMARY CARE CENTER INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0987162

Address:
7640 SYLVANIA AVE
SUITE E
SYLVANIA, OH
ZIP 43560
Phone: (419) 473-2273
Get Directions

PRIMARY CARE CENTER INC is a family medicine in Sylvania, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMARY CARE CENTER INC NPI is 1386733004. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7640 SYLVANIA AVE
SUITE E
SYLVANIA, OH
ZIP 43560-729
Phone: (419) 473-2273

The provider's authorized official is James David Diethelm .
The authorized official title is Owner and has the following contact phone number (419) 473-2273.

The CLIA number assigned to this NPI record is 36D0987162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine35041896OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19314091MEDICARE PINOHIO
2CH6078OTHEROHIORAILROAD MEDICARE
32218451MEDICAIDOHIO
4X57133MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.