| Harold A Ferguson Jr | |
|
450 B Washington Jackson Rd Suite 102 Eaton OH 45320 | |
| (937) 456-8360 | |
| (937) 456-8363 |
| Full Name | Harold A Ferguson Jr |
|---|---|
| Speciality | Family Medicine |
| Location | 450 B Washington Jackson Rd, Eaton, Ohio |
| Authorized Official Name and Position | Harold Allen Ferguson (PHYSICIAN) |
| Authorized Official Contact | 9374568360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold A Ferguson Jr 450 B Washington Jackson Rd Suite 102 Eaton OH 45320 Ph: (937) 456-8360 | Harold A Ferguson Jr 450 B Washington Jackson Rd Suite 102 Eaton OH 45320 Ph: (937) 456-8360 |
| NPI Number | 1164630158 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 3971567496 |
|---|---|
| Medicare Enrollment ID | O20041115001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164630158 | NPI | - | NPPES |
| 1659312205 | Other | OH | INDIVIDUAL NPI |
| 0667292 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34004371 (Ohio) | Primary |
| Provider Name | Harold Allen Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659312205 PECOS PAC ID: 4789648213 Enrollment ID: I20100311000908 |
Preble County General Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 Hillcrest Dr, Eaton, OH 45320 Phone: 937-472-0087 Fax: 937-456-6382 | |
Mark S Vosler Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450b Washington Jackson Rd, Ste 108, Eaton, OH 45320 Phone: 937-456-8332 Fax: 937-456-8335 | |
Kettering Health Network Preble Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450b Washington Jackson Rd Ste 104, Eaton, OH 45320 Phone: 937-456-8340 | |
Internal Medicine Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450b Washington Jackson Rd, Suite 112, Eaton, OH 45320 Phone: 937-429-0607 Fax: 937-558-3067 | |
Preble County Family Pracitce Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 B Washington Jackson Rd, Suite106, Eaton, OH 45320 Phone: 937-456-8370 | |
Samaritan Counseling Alternatives-preble Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2172 State Route 127 N, Eaton, OH 45320 Phone: 937-456-1915 Fax: 937-456-2208 |