Provider Demographics
NPI:1407014558
Name:TWIG I WELL BABY CLINIC
Entity Type:Organization
Organization Name:TWIG I WELL BABY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STRZALKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-382-0694
Mailing Address - Street 1:205 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-3700
Mailing Address - Country:US
Mailing Address - Phone:740-382-0694
Mailing Address - Fax:740-382-0694
Practice Address - Street 1:205 W CENTER ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-3700
Practice Address - Country:US
Practice Address - Phone:740-382-0694
Practice Address - Fax:740-382-0694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service