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1119 E Main St Ste 2 Barnesville OH 43713-9145 | |
(740) 425-5150 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1119 E Main St Ste 2, Barnesville, Ohio |
Authorized Official Name and Position | Willie Cooper-lohr (CFO) |
Authorized Official Contact | 7404255150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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639 W Main St Barnesville OH 43713-1039 Ph: (740) 425-3941 | 1119 E Main St Ste 2 Barnesville OH 43713-9145 Ph: (740) 425-5150 |
NPI Number | 1134827546 |
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Provider Enumeration Date | 02/16/2023 |
Last Update Date | 02/22/2023 |
Medicare PECOS PAC ID | 9335134592 |
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Medicare Enrollment ID | O20230721002232 |
Identifier | Type | State | Issuer |
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1134827546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (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 | |