Provider Demographics
NPI:1417501305
Name:PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED
Entity Type:Organization
Organization Name:PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TANESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-672-0143
Mailing Address - Street 1:500 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1222
Mailing Address - Country:US
Mailing Address - Phone:567-312-8700
Mailing Address - Fax:567-312-8793
Practice Address - Street 1:500 MADISON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-1222
Practice Address - Country:US
Practice Address - Phone:567-312-8700
Practice Address - Fax:567-312-8793
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIMARY CARE SOLUTIONS OF OHIO INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-29
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children