| |
830 S Main St Orrville OH 44667-2291 | |
(330) 684-2015 | |
(330) 684-2075 |
Full Name | |
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Speciality | Clinic/Center |
Location | 830 S Main St, Orrville, Ohio |
Authorized Official Name and Position | Matthew Stewart (CFO) |
Authorized Official Contact | 3306844763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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830 S Main St Orrville OH 44667-2291 Ph: (330) 684-2015 | 830 S Main St Orrville OH 44667-2291 Ph: (330) 684-2015 |
NPI Number | 1609231307 |
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Provider Enumeration Date | 12/22/2015 |
Last Update Date | 02/03/2025 |
Medicare PECOS PAC ID | 7911890546 |
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Medicare Enrollment ID | O20160229000804 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609231307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dunlap Family Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Main St, Orrville, OH 44667 Phone: 330-684-2015 Fax: 330-684-2075 | |
M. Tereletsky, D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Main St, Orrville, OH 44667 Phone: 330-684-1300 | |