| City Of Washington Internal Medicine, L.l.c. | |
|
1450 Columbus Ave Suite 201 Washington Court House OH 43160-3701 | |
| (740) 333-6463 | |
| Not Available |
| Full Name | City Of Washington Internal Medicine, L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1450 Columbus Ave, Washington Court House, Ohio |
| Authorized Official Name and Position | Mark W. Hodges (OWNER) |
| Authorized Official Contact | 7403336463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Washington Internal Medicine, L.l.c. 1450 Columbus Ave Suite 201 Washington Court House OH 43160-3701 Ph: (740) 333-6463 | City Of Washington Internal Medicine, L.l.c. 1450 Columbus Ave Suite 201 Washington Court House OH 43160-3701 Ph: (740) 333-6463 |
| NPI Number | 1780870097 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 03/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780870097 | NPI | - | NPPES |
| 2883018 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35076874 (Ohio) | Primary |
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