| Dba Indian Ripple Family Health Center | |
|
4428 Indian Ripple Rd Beavercreek OH 45440-3264 | |
| (937) 431-4140 | |
| Not Available |
| Full Name | Dba Indian Ripple Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 4428 Indian Ripple Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Karen A. Mitchum (DIRECTOR OF AMBULATORY PRACTICES) |
| Authorized Official Contact | 9373846840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Indian Ripple Family Health Center 4428 Indian Ripple Rd Beavercreek OH 45440-3264 Ph: (937) 431-4140 | Dba Indian Ripple Family Health Center 4428 Indian Ripple Rd Beavercreek OH 45440-3264 Ph: (937) 431-4140 |
| NPI Number | 1891740874 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891740874 | NPI | - | NPPES |
| 0707882 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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