| Healthlink Family Practice & Sports Medicine, Inc. | |
|
6860 Tylersville Rd Suite 12 Mason OH 45040-1236 | |
| (513) 701-5510 | |
| (513) 701-5511 |
| Full Name | Healthlink Family Practice & Sports Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6860 Tylersville Rd, Mason, Ohio |
| Authorized Official Name and Position | Timothy James Linker (PRESIDENT) |
| Authorized Official Contact | 5137015510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthlink Family Practice & Sports Medicine, Inc. 6860 Tylersville Rd Suite 12 Mason OH 45040-1236 Ph: (513) 701-5510 | Healthlink Family Practice & Sports Medicine, Inc. 6860 Tylersville Rd Suite 12 Mason OH 45040-1236 Ph: (513) 701-5510 |
| NPI Number | 1750363164 |
|---|---|
| Provider Enumeration Date | 11/20/2005 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 2062479447 |
|---|---|
| Medicare Enrollment ID | O20041216001126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750363164 | NPI | - | NPPES |
| 0057407 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (Ohio) | Secondary |
| Provider Name | Timothy James Linker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417955428 PECOS PAC ID: 0143287524 Enrollment ID: I20100804000270 |
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