Provider Demographics
NPI:1932649423
Name:H.C. PROVIDERS
Entity Type:Organization
Organization Name:H.C. PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:TUMBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:419-222-8811
Mailing Address - Street 1:3123 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2516
Mailing Address - Country:US
Mailing Address - Phone:419-222-8811
Mailing Address - Fax:
Practice Address - Street 1:3123 W ELM ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2516
Practice Address - Country:US
Practice Address - Phone:419-222-8811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019868261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care