NPI 1164612933 · live from the CMS NPI Registry
Clear Springs Medical Center Ltd
Obstetrics & Gynecology, Obstetrics in Kidron, OH. National Provider Identifier 1164612933, active.
NPI record
| NPI | 1164612933 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Obstetrics 207VX0000X |
| Practice location | 4774 Kidron Rd., Kidron, OH 44636 |
| Practice phone | 330-857-5787 |
| Mailing address | Po Box 268, 4774 Kidron Rd., Kidron, OH 44636 |
| Enumerated | July 27, 2007 |
| Last updated | October 27, 2007 |
| Authorized official | Daniel Cain, Physician |
| Other names | Clear Springs Medical Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Reproductive Endocrinology | 207VE0102X | 35080282 (OH) |
| Advanced Practice Midwife | 367A00000X | 01531 (OH) |
| Obstetrics & Gynecology, Obstetrics primary | 207VX0000X | 34005514 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.