Provider Demographics
NPI:1952607020
Name:MID-OHIO MEDICAL, LLC
Entity Type:Organization
Organization Name:MID-OHIO MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-570-5846
Mailing Address - Street 1:2380 STEWARD CT
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-9019
Mailing Address - Country:US
Mailing Address - Phone:740-879-4084
Mailing Address - Fax:740-879-4029
Practice Address - Street 1:2380 STEWARD CT
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-9019
Practice Address - Country:US
Practice Address - Phone:740-879-4084
Practice Address - Fax:740-879-4029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1985488332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies