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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 | Family Medicine |
Location | 1510 Columbus Ave, Washington Court House, Ohio |
Authorized Official Name and Position | Donald Michael Diener (CEO) |
Authorized Official Contact | 7403332705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 | 1043380579 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 05/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043380579 | NPI | - | NPPES |
2970665 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1168 (Ohio) | Primary |
207R00000X | Internal Medicine | 1168 (Ohio) | Secondary |
208600000X | Surgery | 1168 (Ohio) | Secondary |
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 | |