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1510 Columbus Ave Suite 230 Washington Court House OH 43160-1899 | |
(740) 333-3333 | |
(740) 333-5171 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1510 Columbus Ave, Washington Court House, Ohio |
Authorized Official Name and Position | Lisa M Carlson (CFO) |
Authorized Official Contact | 7407797582 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1450 Columbus Ave Suite B 6-7-8 Washington Court House OH 43160-3701 Ph: (740) 333-2236 | 1510 Columbus Ave Suite 230 Washington Court House OH 43160-1899 Ph: (740) 333-3333 |
NPI Number | 1013220805 |
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Provider Enumeration Date | 07/21/2010 |
Last Update Date | 05/26/2021 |
Medicare PECOS PAC ID | 5294134664 |
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Medicare Enrollment ID | O20210604002126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013220805 | NPI | - | NPPES |
363983 | Other | MEDICARE CCN |
City Of Washington Internal Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Columbus Ave, Suite 201, Washington Court House, OH 43160 Phone: 740-333-6463 | |