| Harlan S. Waid, Jr., M.d., Inc. | |
|
125 S Chestnut St Jefferson OH 44047-1312 | |
| (440) 576-9111 | |
| Not Available |
| Full Name | Harlan S. Waid, Jr., M.d., Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 125 S Chestnut St, Jefferson, Ohio |
| Authorized Official Name and Position | Harlan Sample Waid (PRESIDENT) |
| Authorized Official Contact | 4405769111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harlan S. Waid, Jr., M.d., Inc. 125 S Chestnut St Jefferson OH 44047-1312 Ph: (440) 576-9111 | Harlan S. Waid, Jr., M.d., Inc. 125 S Chestnut St Jefferson OH 44047-1312 Ph: (440) 576-9111 |
| NPI Number | 1639242043 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 01/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639242043 | NPI | - | NPPES |
| 2879649 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 35 04 7304 (Ohio) | Primary |
Jefferson Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Dorset Rd, Jefferson, OH 44047 Phone: 440-576-4455 | |
Uhmp - Pamela Lancaster Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Dorset Rd, Jefferson, OH 44047 Phone: 440-576-4455 Fax: 440-576-6820 |