| Broadway Family Medicine Inc | |
|
1470 N Broadway St Suite100 Lebanon OH 45036-1744 | |
| (513) 932-1936 | |
| (513) 932-3105 |
| Full Name | Broadway Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1470 N Broadway St, Lebanon, Ohio |
| Authorized Official Name and Position | Rose Ebel (PRESIDENT) |
| Authorized Official Contact | 5139321936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Family Medicine Inc Po Box 4723 Belfast ME 04915-4723 Ph: (513) 932-1936 | Broadway Family Medicine Inc 1470 N Broadway St Suite100 Lebanon OH 45036-1744 Ph: (513) 932-1936 |
| NPI Number | 1083696538 |
|---|---|
| Provider Enumeration Date | 11/18/2005 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 5698715803 |
|---|---|
| Medicare Enrollment ID | O20050506000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083696538 | NPI | - | NPPES |
| CK5993 | Other | OH | RR MCR |
| 2378538 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rose S Ebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619950656 PECOS PAC ID: 4183692882 Enrollment ID: I20040921000401 |
Trihealth Physician Practices, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Arrow Springs Blvd, Suite 2800, Lebanon, OH 45036 Phone: 513-282-7300 Fax: 513-282-7310 | |
Turtle Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 767 Columbus Ave, Suite 100, Lebanon, OH 45036 Phone: 513-228-9444 Fax: 513-228-9440 | |
Hill County Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 Fox Hollow Dr, Lebanon, OH 45036 Phone: 513-282-2282 Fax: 513-556-2953 | |
Primary Care Partners Of Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 E Main St Ste F205, Lebanon, OH 45036 Phone: 513-325-4392 Fax: 513-409-5086 | |
Lebanon Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Belvedere Dr Ste A, Lebanon, OH 45036 Phone: 513-228-1666 Fax: 513-228-1555 | |
Healthsource: Lebanon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036 Phone: 513-696-4495 Fax: 513-228-1236 |