MIDWEST COMMUNITY HEALTH ASSOCIATES INC. NPI 1619915170

NPI Information

NPI: 1619915170
Provider Name: MIDWEST COMMUNITY HEALTH ASSOCIATES, INC.

Former Legal Business Name: BRYAN MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
442 W HIGH ST
BRYAN, OH
ZIP 43506
Phone: (419) 636-4517
Get Directions

MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. is a family medicine in Bryan, 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. MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. NPI is 1619915170. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Bryan Medical Group.

The provider's business location address is:

442 W HIGH ST
BRYAN, OH
ZIP 43506-681
Phone: (419) 636-4517
Fax: (419) 636-6438

The provider's authorized official is Diane Conrad .
The authorized official title is Medical Director and has the following contact phone number (419) 636-4517.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 2/25/2019.

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
1	207Q00000X	Family Medicine				Yes

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
1	1092419	MEDICAID	OHIO

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

NPI Synchronization or Removal

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