| |
210 N. Union Street Bethel OH 45106 | |
(513) 734-9050 | |
(513) 734-9051 |
Full Name | |
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Speciality | Family Medicine |
Location | 210 N. Union Street, Bethel, Ohio |
Authorized Official Name and Position | Richard J. Fels (CFO) |
Authorized Official Contact | 9373787806 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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210 N. Union Street Bethel OH 45106 Ph: (513) 734-9050 | 210 N. Union Street Bethel OH 45106 Ph: (513) 734-9050 |
NPI Number | 1902940042 |
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Provider Enumeration Date | 02/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902940042 | NPI | - | NPPES |
1037667 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1115 (Ohio) | Primary |
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