Department Of Primary Care-waterford | |
151 Anderson Ln Waterford OH 45786-5312 | |
(740) 984-2332 | |
(740) 984-4435 |
Full Name | Department Of Primary Care-waterford |
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Speciality | Clinic/center - Rural Health |
Location | 151 Anderson Ln, Waterford, Ohio |
Authorized Official Name and Position | Paul G Westbrock (VP, LEGAL AFFAIRS) |
Authorized Official Contact | 7403741581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Department Of Primary Care-waterford 401 Matthew St Marietta OH 45750-1635 Ph: (740) 374-6090 | Department Of Primary Care-waterford 151 Anderson Ln Waterford OH 45786-5312 Ph: (740) 984-2332 |
NPI Number | 1417656059 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 03/29/2023 |
Identifier | Type | State | Issuer |
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1417656059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |