| Healthserve Primary Care Llc | |
|
153 W Main St Ste 103 New Albany OH 43054-9225 | |
| (614) 939-9110 | |
| (641) 939-4857 |
| Full Name | Healthserve Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 153 W Main St Ste 103, New Albany, Ohio |
| Authorized Official Name and Position | Michael C Bourland (CEO) |
| Authorized Official Contact | 61493989110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthserve Primary Care Llc 2939 Kenny Rd Ste 200 Columbus OH 43221-2406 Ph: (440) 274-5000 | Healthserve Primary Care Llc 153 W Main St Ste 103 New Albany OH 43054-9225 Ph: (614) 939-9110 |
| NPI Number | 1275907867 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275907867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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