| Healthsource: Georgetown Pediatrics And Family Practice | |
|
631 E State St Georgetown OH 45121-1437 | |
| (937) 378-6387 | |
| (937) 378-4253 |
| Full Name | Healthsource: Georgetown Pediatrics And Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 631 E State St, Georgetown, 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 |
|---|---|
| Healthsource: Georgetown Pediatrics And Family Practice 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: Georgetown Pediatrics And Family Practice 631 E State St Georgetown OH 45121-1437 Ph: (937) 378-6387 |
| NPI Number | 1255372207 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20070424000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255372207 | NPI | - | NPPES |
| 0836662 | Medicaid | OH | |
| CH7473 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Donohoo Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5160 State Route 125, Georgetown, OH 45121 Phone: 937-213-1092 | |
Adams County Regional Medical Center (acrmc) Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Mount Orab Pike, Georgetown, OH 45121 Phone: 937-378-3075 | |
Healthsource: Georgetown Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 E State St, Georgetown, OH 45121 Phone: 937-378-6387 Fax: 937-378-4253 | |
Adams County Regional Medical Center (acrmc) Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Mount Orab Pike, Georgetown, OH 45121 Phone: 937-386-3075 | |
Brown County Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 937-378-7510 Fax: 937-378-7513 |