Provider Demographics
NPI:1578628996
Name:HOYDA HEALTH CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:HOYDA HEALTH CARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOYDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-447-0282
Mailing Address - Street 1:465 W PERRY ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-1958
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:465 W PERRY ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-1958
Practice Address - Country:US
Practice Address - Phone:419-447-0282
Practice Address - Fax:419-447-7685
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOYDA HEALTH CARE SOLUTION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-26
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3633749OtherOTHER ID NUMBER-COMMERCIAL NUMBER
OH0747624Medicaid
OH0747624Medicaid
3633749OtherOTHER ID NUMBER-COMMERCIAL NUMBER