Interim Healthcare Palliative Care Of The Midwest, Inc | |
300 W Wilson Bridge Rd Ste 250 Worthington OH 43085-2289 | |
(614) 436-9404 | |
Not Available |
Full Name | Interim Healthcare Palliative Care Of The Midwest, Inc |
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Speciality | Family Medicine |
Location | 300 W Wilson Bridge Rd Ste 250, Worthington, Ohio |
Authorized Official Name and Position | Thomas J Dimarco (CEO) |
Authorized Official Contact | 6144369404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Interim Healthcare Palliative Care Of The Midwest, Inc 300 W Wilson Bridge Rd Ste 250 Worthington OH 43085-2289 Ph: (614) 436-9404 | Interim Healthcare Palliative Care Of The Midwest, Inc 300 W Wilson Bridge Rd Ste 250 Worthington OH 43085-2289 Ph: (614) 436-9404 |
NPI Number | 1851911440 |
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Provider Enumeration Date | 04/23/2020 |
Last Update Date | 08/29/2024 |
Certification Date | 08/29/2024 |
Medicare PECOS PAC ID | 4688085301 |
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Medicare Enrollment ID | O20201201000816 |
Identifier | Type | State | Issuer |
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1851911440 | NPI | - | NPPES |
Provider Name | Sarah H Bonza |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487694709 PECOS PAC ID: 2264527142 Enrollment ID: I20071008000256 |
Provider Name | Emily B Long |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053509844 PECOS PAC ID: 1557459740 Enrollment ID: I20071126000209 |
Provider Name | Julie A Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407003098 PECOS PAC ID: 8628125747 Enrollment ID: I20090407000387 |
Provider Name | Jenifer M Eubanks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669729885 PECOS PAC ID: 3870741663 Enrollment ID: I20120920000239 |
Provider Name | Carrie A Greene |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437793387 PECOS PAC ID: 7214363571 Enrollment ID: I20200204002347 |
Provider Name | Nicole Marie Hershey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912501073 PECOS PAC ID: 0547598583 Enrollment ID: I20210204003047 |
Provider Name | Becky Tasch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679163240 PECOS PAC ID: 9931517695 Enrollment ID: I20210416002008 |
Provider Name | Dana N Frazier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316422413 PECOS PAC ID: 6305249608 Enrollment ID: I20210723002457 |
Provider Name | Rebekka Lindamood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20220412000192 |
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