| Woodlands, Serving Central Ohio Inc. | |
|
195 Union St Suite B-1 Newark OH 43055-3919 | |
| (740) 349-7066 | |
| (740) 345-6028 |
| Full Name | Woodlands, Serving Central Ohio Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 195 Union St, Newark, Ohio |
| Authorized Official Name and Position | Tricia Hufford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7403497066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands, Serving Central Ohio Inc. 195 Union St Suite B-1 Newark OH 43055-3919 Ph: (740) 349-7066 | Woodlands, Serving Central Ohio Inc. 195 Union St Suite B-1 Newark OH 43055-3919 Ph: (740) 349-7066 |
| NPI Number | 1376607374 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/20/2009 |
| Medicare PECOS PAC ID | 4183519481 |
|---|---|
| Medicare Enrollment ID | O20040217000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376607374 | NPI | - | NPPES |
| 10193 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Ohio) | Primary |
| Provider Name | Tamara Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417387689 PECOS PAC ID: 3971864802 Enrollment ID: I20180309001019 |
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