Cardinal Virtues Long Term Care | |
121 Fairway Ave Piketon OH 45661-9123 | |
(740) 352-7733 | |
Not Available |
Full Name | Cardinal Virtues Long Term Care |
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Speciality | Family Medicine |
Location | 121 Fairway Ave, Piketon, Ohio |
Authorized Official Name and Position | Sean Stiltner (OWNER/PHYSICIAN) |
Authorized Official Contact | 7403527733 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cardinal Virtues Long Term Care 121 Fairway Ave Piketon OH 45661-9123 Ph: (740) 352-7733 | Cardinal Virtues Long Term Care 121 Fairway Ave Piketon OH 45661-9123 Ph: (740) 352-7733 |
NPI Number | 1164283750 |
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Provider Enumeration Date | 01/19/2024 |
Last Update Date | 01/19/2024 |
Medicare PECOS PAC ID | 9133568868 |
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Medicare Enrollment ID | O20240415001922 |
Identifier | Type | State | Issuer |
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1164283750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sean Duane Stiltner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821156472 PECOS PAC ID: 0143220889 Enrollment ID: I20070103000428 |
Community Action Committee Of Pike Co., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Market St, Piketon, OH 45661 Phone: 740-289-2371 | |
Community Action Committee Of Pike Co., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Market St., Community Action Committee Of Pike Co., Piketon, OH 45661 Phone: 740-289-2371 | |
Sean Stiltner, D.o.,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Fairway Ave, Piketon, OH 45661 Phone: 740-352-7733 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Us Highway 23, Family Health Center Piketon, Piketon, OH 45661 Phone: 740-289-3508 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7777 Us Highway 23, Piketon, OH 45661 Phone: 740-289-3508 |