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PUTNAM COUNTY PRIMARY CARE LLC
NPI 1588760383
Family Medicine in Ottawa, OH

Active since September 16, 2006CLIA 36D1031183 · Waiver
1740 N PERRY ST, SUITE A, OTTAWA, OH 45875(419) 523-0012(419) 523-3416 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Putnam County Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUTNAM COUNTY PRIMARY CARE LLC (NPI 1588760383) is a healthcare organization registered as a family medicine in Ottawa, Ohio and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Jeffrey S Eiden, Owner, as its authorized official.

NPPES Registry Identity

NPI1588760383
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePUTNAM COUNTY PRIMARY CARE LLC
Location Address1740 N PERRY ST, SUITE AOttawa, OH 45875-1173
Mailing AddressPo Box 450718Westlake, OH 44145-0614 · (800) 514-4390 · Fax (440) 808-3675
Phone(419) 523-0012
Fax(419) 523-3416
Organization SubpartNo
Authorized OfficialJeffrey S EidenOwner · (419) 523-0012
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 1, 2008
✔ NPI 1588760383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1740 N PERRY ST, Ottawa, OH 45875
Open in Google Maps ↗

Other Identifiers 4

Medicaid2502401OH
Medicare PIN9347931OH
Other5597270001OH · Dme
OtherDC4690OH · Railroad Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1031183

Putnam County Primary Care - Ottawa · Ottawa, OH
Active · expires Apr 10, 2028
CLIA Number36D1031183
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorAli Chohan
Laboratory Phone(419) 523-0012
Laboratory LocationPutnam County Primary Care - Ottawa1740 N Perry Street, Suite A, Ottawa, OH 45875
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIGE FREY CNP
Nurse Practitioner (Family)
1740 N PERRY ST
OTTAWA, OH 45875
Putnam County (419) 523-0012
KRISTINE RENEE KAUFMAN CNP
Nurse Practitioner (Family)
1740 N PERRY ST, SUITE A
OTTAWA, OH 45875
Putnam County (419) 523-0012
JEFFREY S EIDEN MD
Family Medicine
1740 N PERRY ST, SUITE A
OTTAWA, OH 45875
Putnam County (419) 523-0012
ALI CHOHAN MD
Family Medicine
1740 N PERRY ST
OTTAWA, OH 45875
Putnam County (419) 523-0012
DR. TATE ROGER CHURCH MD
Family Medicine
1740 N PERRY ST
OTTAWA, OH 45875
Putnam County (419) 523-0012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam County Primary Care LLC's NPI number?

The NPI number for Putnam County Primary Care LLC is 1588760383. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Putnam County Primary Care LLC located?

Putnam County Primary Care LLC is located at 1740 N Perry St Suite A, Ottawa, OH 45875. The listed phone number is (419) 523-0012.

What is Putnam County Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Putnam County Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1031183) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Putnam County Primary Care LLC was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.