Provider Demographics
NPI:1790567766
Name:COMPASSION HEALTH TOLEDO
Entity Type:Organization
Organization Name:COMPASSION HEALTH TOLEDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:T
Authorized Official - Last Name:RUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-661-0565
Mailing Address - Street 1:1638 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-3240
Mailing Address - Country:US
Mailing Address - Phone:567-661-0565
Mailing Address - Fax:
Practice Address - Street 1:1055 DORR STREET
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607
Practice Address - Country:US
Practice Address - Phone:567-661-0565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASSION HEALTH TOLEDO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)