Basedow Family Clinic Inc | |
2301 S 7th St Ste 1 Ironton OH 45638-2542 | |
(740) 532-3100 | |
(740) 532-8558 |
Full Name | Basedow Family Clinic Inc |
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Speciality | Family Medicine |
Location | 2301 S 7th St Ste 1, Ironton, Ohio |
Authorized Official Name and Position | William K Basedow (PRESIDENT) |
Authorized Official Contact | 7405323100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Basedow Family Clinic Inc 2301 S 7th St Ste 1 Ironton OH 45638-2542 Ph: (740) 532-3100 | Basedow Family Clinic Inc 2301 S 7th St Ste 1 Ironton OH 45638-2542 Ph: (740) 532-3100 |
NPI Number | 1720086143 |
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Provider Enumeration Date | 07/09/2005 |
Last Update Date | 11/08/2018 |
Medicare PECOS PAC ID | 4385544188 |
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Medicare Enrollment ID | O20040109000265 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720086143 | NPI | - | NPPES |
0919171 | Medicaid | OH | |
0919180 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Ohio) | Primary |
Provider Name | William K Basedow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902804321 PECOS PAC ID: 1557261369 Enrollment ID: I20040115000266 |
Provider Name | Arlene Marie Basedow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124152848 PECOS PAC ID: 1658271465 Enrollment ID: I20040115000326 |
Provider Name | Michael Basedow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114467867 PECOS PAC ID: 7113344177 Enrollment ID: I20200904001730 |
Rahul D Patil Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 S 6th St, Ironton, OH 45638 Phone: 740-532-5141 Fax: 740-532-6737 | |
Ironton Health Care Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Campbell Drive, Ironton, OH 45638 Phone: 740-532-3534 Fax: 740-532-5489 | |
Ironton Health Care Campus Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1408 Campbell Dr, Suite 201, Ironton, OH 45638 Phone: 740-534-9202 Fax: 740-534-9327 | |
One Stop Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N 3rd St, Ironton, OH 45638 Phone: 740-532-7855 | |
Kevin Lambert Npc Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Park Ave, Ironton, OH 45638 Phone: 740-532-1613 Fax: 740-532-1715 | |
Patrio D Tismo Pa Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 North 3rd Street, Ironton, OH 45638 Phone: 740-532-0059 Fax: 740-532-0380 | |
Ironton Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 N 2nd St, Ironton, OH 45638 Phone: 740-532-2282 Fax: 740-532-9412 |