| Community Physicians Of Yellow Springs, Inc. | |
|
1425 Xenia Ave Yellow Springs OH 45387-1121 | |
| (937) 376-3596 | |
| (937) 767-1302 |
| Full Name | Community Physicians Of Yellow Springs, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 Xenia Ave, Yellow Springs, Ohio |
| Authorized Official Name and Position | Paul Vanausdal (PRESIDENT) |
| Authorized Official Contact | 9377677291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physicians Of Yellow Springs, Inc. 1425 Xenia Ave Yellow Springs OH 45387-1121 Ph: (937) 376-3596 | Community Physicians Of Yellow Springs, Inc. 1425 Xenia Ave Yellow Springs OH 45387-1121 Ph: (937) 376-3596 |
| NPI Number | 1659371433 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659371433 | NPI | - | NPPES |
| 0227641 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35036419 (Ohio) | Primary |
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