| Dawn Mccoy Llc | |
|
323 S Broad St Lancaster OH 43130-4311 | |
| (740) 438-2946 | |
| (740) 652-0000 |
| Full Name | Dawn Mccoy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 323 S Broad St, Lancaster, Ohio |
| Authorized Official Name and Position | Dawn Louise Mccoy (SOCIAL WORKER) |
| Authorized Official Contact | 7404382946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Mccoy Llc 323 S Broad St P.o. Box 2216 Lancaster OH 43130-4311 Ph: (740) 438-2946 | Dawn Mccoy Llc 323 S Broad St Lancaster OH 43130-4311 Ph: (740) 438-2946 |
| NPI Number | 1730494477 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 08/25/2010 |
| Medicare PECOS PAC ID | 2668506940 |
|---|---|
| Medicare Enrollment ID | O20100823000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730494477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I.0008271 (Ohio) | Primary |
| Provider Name | Dawn Louise Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003947094 PECOS PAC ID: 1355309477 Enrollment ID: I20041221000623 |
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