| Spectrum Outreach Services, Ltd | |
|
214 S 4th St Ironton OH 45638-1610 | |
| (740) 532-3767 | |
| (740) 532-3385 |
| Full Name | Spectrum Outreach Services, Ltd |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 214 S 4th St, Ironton, Ohio |
| Authorized Official Name and Position | Robert Vinson (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7405323767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Outreach Services, Ltd 214 S 4th St Ironton OH 45638-1610 Ph: (740) 532-3767 | Spectrum Outreach Services, Ltd 214 S 4th St Ironton OH 45638-1610 Ph: (740) 532-3767 |
| NPI Number | 1013969666 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Medicare PECOS PAC ID | 7416344429 |
|---|---|
| Medicare Enrollment ID | O20220421001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013969666 | NPI | - | NPPES |
| 12344 | Medicaid | OH |
| Provider Name | Ray Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277865 PECOS PAC ID: 2668701251 Enrollment ID: I20190906002085 |
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