Provider Demographics
NPI:1992790679
Name:TOLEDO DISTRICT NURSE ASSOCIATION
Entity type:Organization
Organization Name:TOLEDO DISTRICT NURSE ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PPCS
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAMMERLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-469-3842
Mailing Address - Street 1:1946 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-7258
Mailing Address - Country:US
Mailing Address - Phone:419-255-0983
Mailing Address - Fax:419-255-6929
Practice Address - Street 1:1946 N 13TH ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-7258
Practice Address - Country:US
Practice Address - Phone:419-255-0983
Practice Address - Fax:419-255-6929
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROMEDICA PHYSCIAN & CONTINUUM SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-19
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI114232OtherCARE CHOICES
MI114232OtherTRINITY HEALTH PLANS
OH2627801Medicaid
OH10102OtherPARAMOUNT HEALTH CARE
OH8822395Medicaid
OH10102OtherPARAMOUNT HEALTH CARE
OH=========00OtherWORKERS COMPENSATION
OH=========007OtherMEDICAL MUTUAL OF OHIO
OH2627801Medicaid