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13804 State Route 141 Kitts Hill OH 45645-8848 | |
(740) 643-2082 | |
(740) 643-2126 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 13804 State Route 141, Kitts Hill, Ohio |
Authorized Official Name and Position | Nancy Lewis (DIRECTOR OF HEALTH SERVICES) |
Authorized Official Contact | 7405323534 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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305 N 5th St Ironton OH 45638-1578 Ph: (740) 532-3534 | 13804 State Route 141 Kitts Hill OH 45645-8848 Ph: (740) 643-2082 |
NPI Number | 1225386501 |
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Provider Enumeration Date | 08/17/2012 |
Last Update Date | 08/17/2012 |
Identifier | Type | State | Issuer |
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1225386501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |