| West Central Ohio Psychiatric Care, Inc. | |
|
1060 Summitt Dr Suite B Middletown OH 45042-3400 | |
| (513) 423-4546 | |
| (513) 423-4548 |
| Full Name | West Central Ohio Psychiatric Care, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1060 Summitt Dr, Middletown, Ohio |
| Authorized Official Name and Position | Emad Alshami (PRESIDENT/OWNER) |
| Authorized Official Contact | 5134234546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Ohio Psychiatric Care, Inc. 1060 Summitt Dr Suite B Middletown OH 45042-3400 Ph: (513) 423-4546 | West Central Ohio Psychiatric Care, Inc. 1060 Summitt Dr Suite B Middletown OH 45042-3400 Ph: (513) 423-4546 |
| NPI Number | 1275552697 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 05/12/2017 |
| Medicare PECOS PAC ID | 1052381373 |
|---|---|
| Medicare Enrollment ID | O20040726001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275552697 | NPI | - | NPPES |
| 9345441 | Other | OH | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-084629 (Ohio) | Primary |
| Provider Name | Emad Alshami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336168848 PECOS PAC ID: 0547230872 Enrollment ID: I20040727001591 |
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