Provider Demographics
NPI:1184479693
Name:RAGON HEALTH CENTER LLC
Entity type:Organization
Organization Name:RAGON HEALTH CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:E
Authorized Official - Last Name:RAGON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-896-2030
Mailing Address - Street 1:3661 ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-6909
Mailing Address - Country:US
Mailing Address - Phone:330-896-2030
Mailing Address - Fax:330-899-0527
Practice Address - Street 1:3661 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-6909
Practice Address - Country:US
Practice Address - Phone:330-896-2030
Practice Address - Fax:330-899-0527
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAGON CHIROPRACTIC HEALTH CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-18
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty