Clinical Care Consultants Llc | |
4660 Trueman Blvd Hilliard OH 43026-2438 | |
(614) 771-4400 | |
Not Available |
Full Name | Clinical Care Consultants Llc |
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Speciality | Internal Medicine |
Location | 4660 Trueman Blvd, Hilliard, Ohio |
Authorized Official Name and Position | Fatema Baumgardner (MANAGER) |
Authorized Official Contact | 6143147748 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinical Care Consultants Llc Po Box 920 Dublin OH 43017-6920 Ph: () - | Clinical Care Consultants Llc 4660 Trueman Blvd Hilliard OH 43026-2438 Ph: (614) 771-4400 |
NPI Number | 1881136414 |
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Provider Enumeration Date | 11/14/2016 |
Last Update Date | 11/14/2016 |
Medicare PECOS PAC ID | 1850677733 |
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Medicare Enrollment ID | O20170406002646 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881136414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 34.007628 (Ohio) | Primary |
Provider Name | Gavin P Baumgardner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538265434 PECOS PAC ID: 8921065392 Enrollment ID: I20071203000258 |
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