| Central State Sports Medicine | |
|
1400 Brush Row Rd Wilberforce OH 45384-5800 | |
| (937) 925-3748 | |
| (972) 367-3451 |
| Full Name | Central State Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Brush Row Rd, Wilberforce, Ohio |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central State Sports Medicine Po Box 650850 Dallas TX 75265-0850 Ph: (972) 367-4845 | Central State Sports Medicine 1400 Brush Row Rd Wilberforce OH 45384-5800 Ph: (937) 925-3748 |
| NPI Number | 1508244641 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508244641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Next Medical Staffing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 N Bickett Rd, Wilberforce, OH 45384 Phone: 937-708-5506 | |
Premier Commuity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 N Bickett Rd, Wilberforce, OH 45384 Phone: 833-427-5634 | |
Central State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Brush Row Rd., Wilberforce, OH 45384 Phone: 937-376-6076 Fax: 937-376-6647 |