| Englewood Family Practice | |
|
211 W National Rd Englewood OH 45322-1437 | |
| (937) 208-8100 | |
| (937) 208-8120 |
| Full Name | Englewood Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 211 W National Rd, Englewood, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Englewood Family Practice 211 W National Rd Englewood OH 45322-1437 Ph: (937) 208-8100 | Englewood Family Practice 211 W National Rd Englewood OH 45322-1437 Ph: (937) 208-8100 |
| NPI Number | 1558314500 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558314500 | NPI | - | NPPES |
| 2022377 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ohio Post-acute Medical Services 1 Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Lauricella Ct, Englewood, OH 45322 Phone: 937-836-5143 | |
Miami Valley Mt Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 N Main St, Englewood, OH 45322 Phone: 937-890-8660 | |
R Chunduri Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 Union Blvd, Englewood, OH 45322 Phone: 937-836-7130 Fax: 937-836-9727 | |
Cs Pacs 3 Midwest Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Lauricella Ct, Englewood, OH 45322 Phone: 937-836-5143 |