Collier Medical Services Llc | |
1661 State Route 522 Unit 2 Wheelersburg OH 45694-8120 | |
(740) 574-1770 | |
(740) 574-8781 |
Full Name | Collier Medical Services Llc |
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Speciality | Internal Medicine |
Location | 1661 State Route 522 Unit 2, Wheelersburg, Ohio |
Authorized Official Name and Position | Marilyn J Collier (OWNER) |
Authorized Official Contact | 7405741770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Collier Medical Services Llc 1661 State Route 522 Unit 2 Wheelersburg OH 45694-8120 Ph: (740) 574-1770 | Collier Medical Services Llc 1661 State Route 522 Unit 2 Wheelersburg OH 45694-8120 Ph: (740) 574-1770 |
NPI Number | 1164023677 |
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Provider Enumeration Date | 11/03/2020 |
Last Update Date | 11/17/2022 |
Medicare PECOS PAC ID | 7810300183 |
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Medicare Enrollment ID | O20210105001359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164023677 | NPI | - | NPPES |
1164023677 | Other | OH | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
Provider Name | Alicia Fink |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629220744 PECOS PAC ID: 2860552239 Enrollment ID: I20151215001387 |
Provider Name | Jamie Sue Reynolds |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386227924 PECOS PAC ID: 9335548593 Enrollment ID: I20230928001434 |
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