| Hartville Internal Medicine Pa | |
|
855 W Maple St Suite 130 Hartville OH 44632-9668 | |
| (330) 877-9388 | |
| (330) 488-2907 |
| Full Name | Hartville Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 855 W Maple St, Hartville, Ohio |
| Authorized Official Name and Position | Amin Youssef Khalil (PRESIDENT) |
| Authorized Official Contact | 3308779388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartville Internal Medicine Pa 855 W Maple St Suite 130 Hartville OH 44632-9668 Ph: (330) 877-9388 | Hartville Internal Medicine Pa 855 W Maple St Suite 130 Hartville OH 44632-9668 Ph: (330) 877-9388 |
| NPI Number | 1518948702 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518948702 | NPI | - | NPPES |
| 101425 | Other | OH | BLACK LUNG |
| 000000213674 | Other | OH | ANTHEM |
| 2526476 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Beneficial Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 W Maple St, Suite 1, Hartville, OH 44632 Phone: 330-877-2011 Fax: 330-877-2077 | |
Tri-county Medical Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 W Maple St, Ste 120, Hartville, OH 44632 Phone: 330-877-6613 Fax: 330-877-6618 |