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66840 Belmont Morristown Rd Belmont OH 43718-9665 | |
(740) 782-1031 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 66840 Belmont Morristown Rd, Belmont, Ohio |
Authorized Official Name and Position | Willie Cooper-lohr (CFO) |
Authorized Official Contact | 7404255116 |
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: () - | 66840 Belmont Morristown Rd Belmont OH 43718-9665 Ph: (740) 782-1031 |
NPI Number | 1053999367 |
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Provider Enumeration Date | 03/30/2021 |
Last Update Date | 10/02/2023 |
Medicare PECOS PAC ID | 9335134592 |
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Medicare Enrollment ID | O20211117000903 |
Identifier | Type | State | Issuer |
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1053999367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |