NPI | 1225292865 |
---|---|
Former Legal Business Name | ST. RITA PROFESSIONAL SERVICES LLC |
Entity Type | Organization |
Authorized Contact | JEFF RECKER Director Finance, Medical Group 419-996-2698 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 104100000X Social Worker |
207R00000X Internal Medicine | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207RI0011X Internal Medicine, Interventional Cardiology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207Y00000X Otolaryngology | |
208000000X Pediatrics | |
208100000X Physical Medicine & Rehabilitation | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208600000X Surgery | |
208800000X Urology | |
363LA2100X Nurse Practitioner, Acute Care | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2023-03-24 |