Hartville Internal Medicine Pa
LBN: Hartville Internal Medicine Pa
Hartville Internal Medicine Pa is an health care organization with primary practice located at 855 W Maple St Suite 130, Hartville OH 44632-9668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Hartville Internal Medicine Pa can be contacted via phone (330) 877-9388, or through Khalil, Amin Youssef via phone (330) 877-9388.
Contact Information
Primary practice address
855 W Maple St Suite 130
Hartville OH 44632-9668
Phone: (330) 877-9388
Fax: (330) 488-2907
Website:
Authorized official contact:
Name: Khalil, Amin Youssef Doctor of Medicine (MD)
Phone: (330) 877-9388
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1518948702 |
|---|---|
| LBN Legal business name | Hartville Internal Medicine Pa |
| DBA Doing business as | |
| Authorized official | Khalil, Amin Youssef Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 7th, 2005 |
| Last updated | May 2nd, 2012 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518948702 | NPPES |
| Ohio | Other | 101425 | BLACK LUNG |
| Ohio | Other | 000000213674 | BLACK LUNG |
| Ohio | MEDICAID | 2526476 | BLACK LUNG |
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