| |
5 Alexandersville Rd Miamisburg OH 45342-3672 | |
(937) 247-0304 | |
(937) 247-0313 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 5 Alexandersville Rd, Miamisburg, Ohio |
Authorized Official Name and Position | Gregory Hopkins (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9375869733 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1323 W 3rd St Dayton OH 45402-6714 Ph: (937) 586-9733 | 5 Alexandersville Rd Miamisburg OH 45342-3672 Ph: (937) 247-0304 |
NPI Number | 1689913097 |
---|---|
Provider Enumeration Date | 02/05/2013 |
Last Update Date | 12/21/2021 |
Medicare PECOS PAC ID | 7012094386 |
---|---|
Medicare Enrollment ID | O20130708000287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689913097 | NPI | - | NPPES |
0088580 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 93.224 (Ohio) | Primary |
Internal Medicine Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 Leiter Rd, Miamisburg, OH 45342 Phone: 937-384-6800 Fax: 937-384-6939 | |
Ws Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 | |
Mound Family Practice Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Central Ave, Miamisburg, OH 45342 Phone: 937-866-0741 Fax: 937-866-8861 | |