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4790 Cottonville Rd Jamestown OH 45335-1518 | |
(937) 675-2870 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 4790 Cottonville Rd, Jamestown, Ohio |
Authorized Official Name and Position | Timothy Ko (KETTERING HEALTH CFO) |
Authorized Official Contact | 9373958522 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2110 Leiter Rd Miamisburg OH 45342-3598 Ph: () - | 4790 Cottonville Rd Jamestown OH 45335-1518 Ph: (937) 675-2870 |
NPI Number | 1386281574 |
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Provider Enumeration Date | 12/06/2019 |
Last Update Date | 11/25/2024 |
Medicare PECOS PAC ID | 3971406539 |
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Medicare Enrollment ID | O20200520000139 |
Identifier | Type | State | Issuer |
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1386281574 | NPI | - | NPPES |
0417728 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Digestive Specialists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Cottonville Rd, Jamestown, OH 45335 Phone: 937-293-4424 Fax: 937-395-3682 | |