Provider Demographics
NPI:1851416937
Name:HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:HEALTH CARE SERVICES
Other - Org Name:HEALTH CARE OMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STORE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:WESSELER
Authorized Official - Suffix:
Authorized Official - Credentials:GLPN
Authorized Official - Phone:513-321-3456
Mailing Address - Street 1:3180 MADISON ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1334
Mailing Address - Country:US
Mailing Address - Phone:513-321-3456
Mailing Address - Fax:
Practice Address - Street 1:3180 MADISON ROAD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1334
Practice Address - Country:US
Practice Address - Phone:513-321-3456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0637994Medicaid
OH0637994Medicaid