Provider Demographics
NPI:1447480223
Name:MIDDLEFIELD CARE CENTER, INC.
Entity type:Organization
Organization Name:MIDDLEFIELD CARE CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:POGAN
Authorized Official - Suffix:
Authorized Official - Credentials:FACHE
Authorized Official - Phone:440-543-8199
Mailing Address - Street 1:14999 LENNY DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-9466
Mailing Address - Country:US
Mailing Address - Phone:440-632-1900
Mailing Address - Fax:
Practice Address - Street 1:14999 LENNY DR
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9466
Practice Address - Country:US
Practice Address - Phone:440-632-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH319-BC261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing