| Community Healthcare Associates Of Ohio, Llc | |
|
209 Seneca Ave Unit D Byesville OH 43723-1364 | |
| (740) 685-1610 | |
| (740) 685-1610 |
| Full Name | Community Healthcare Associates Of Ohio, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 Seneca Ave Unit D, Byesville, Ohio |
| Authorized Official Name and Position | Chester James Larrick (PRESIDENT, CEO) |
| Authorized Official Contact | 7406851610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Associates Of Ohio, Llc 209 Seneca Ave., Unit D P.o. Box 112 Byesville OH 43723 Ph: (740) 685-1610 | Community Healthcare Associates Of Ohio, Llc 209 Seneca Ave Unit D Byesville OH 43723-1364 Ph: (740) 685-1610 |
| NPI Number | 1881059780 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 01/27/2016 |
| Medicare PECOS PAC ID | 2961784970 |
|---|---|
| Medicare Enrollment ID | O20170127001389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881059780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | E-1153 (Ohio) | Primary |
| Provider Name | Chester J Larrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477761773 PECOS PAC ID: 0941224620 Enrollment ID: I20240216003046 |
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