| |
2055 Hospital Drive Suite 130 Batavia OH 45103-1946 | |
(513) 732-0870 | |
(513) 732-0873 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2055 Hospital Drive, Batavia, Ohio |
Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
Authorized Official Contact | 5137074041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | 2055 Hospital Drive Suite 130 Batavia OH 45103-1946 Ph: (513) 732-0870 |
NPI Number | 1003862343 |
---|---|
Provider Enumeration Date | 05/26/2006 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 2264328749 |
---|---|
Medicare Enrollment ID | O20070424000419 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003862343 | NPI | - | NPPES |
0827216 | Medicaid | OH | |
CH7473 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Clermont Internists Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Hospital Dr, Suite 300, Batavia, OH 45103 Phone: 513-732-0663 Fax: 513-732-1232 | |