| Bluffton Family Practice Llc | |
|
582 Harmon Rd Bluffton OH 45817-1069 | |
| (419) 369-4804 | |
| (419) 369-4805 |
| Full Name | Bluffton Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 582 Harmon Rd, Bluffton, Ohio |
| Authorized Official Name and Position | Darrel Hotmire (OWNER) |
| Authorized Official Contact | 4193694804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluffton Family Practice Llc 582 Harmon Rd Bluffton OH 45817-1069 Ph: (419) 369-4804 | Bluffton Family Practice Llc 582 Harmon Rd Bluffton OH 45817-1069 Ph: (419) 369-4804 |
| NPI Number | 1831295674 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 10/29/2021 |
| Medicare PECOS PAC ID | 8729049424 |
|---|---|
| Medicare Enrollment ID | O20041026000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831295674 | NPI | - | NPPES |
| 1508818568 | Other | OH | 1508818568 |
| DC6643 | Other | OH | RAILROAD MEDICARE |
| 1831295674 | Other | OH | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Darrel R Hotmire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508818568 PECOS PAC ID: 5698736296 Enrollment ID: I20041027000001 |
| Provider Name | Cheri J Diller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447250774 PECOS PAC ID: 5597783183 Enrollment ID: I20051102000573 |
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