| |
101 E Main St Barnesville OH 43713-1005 | |
(740) 425-5165 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 101 E Main St, Barnesville, Ohio |
Authorized Official Name and Position | Jeffrey Britton (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7402396447 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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101 E Main St Barnesville OH 43713-1005 Ph: (740) 425-5165 | 101 E Main St Barnesville OH 43713-1005 Ph: (740) 425-5165 |
NPI Number | 1326089129 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 11/03/2021 |
Medicare PECOS PAC ID | 7113990177 |
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Medicare Enrollment ID | O20070731000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326089129 | NPI | - | NPPES |
0125108 | Medicaid | OH | |
OH3618591 | Other | OH | MEDICARE FQHC PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pratap K. Souri, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Suite 201,, Barnesville, OH 43713 Phone: 740-425-5159 | |
Aaron J. Samuel, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Suite 202,, Barnesville, OH 43713 Phone: 740-425-5140 | |