Family Practice Center Of Salem, Inc. | |
2370 Southeast Blvd Salem OH 44460-3418 | |
(330) 332-9961 | |
(330) 332-3860 |
Full Name | Family Practice Center Of Salem, Inc. |
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Speciality | Family Medicine |
Location | 2370 Southeast Blvd, Salem, Ohio |
Authorized Official Name and Position | Richard L Banning (PRESIDENT) |
Authorized Official Contact | 3303329961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Practice Center Of Salem, Inc. 2370 Southeast Blvd Salem OH 44460-3418 Ph: (330) 332-9961 | Family Practice Center Of Salem, Inc. 2370 Southeast Blvd Salem OH 44460-3418 Ph: (330) 332-9961 |
NPI Number | 1134251077 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134251077 | NPI | - | NPPES |
0377597 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35036040 (Ohio) | Primary |
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