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150 Health Partners Cir Mount Orab OH 45154-8610 | |
(937) 444-2514 | |
(937) 444-4818 |
Full Name | |
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Speciality | Clinic/Center |
Location | 150 Health Partners Cir, Mount Orab, 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 |
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424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | 150 Health Partners Cir Mount Orab OH 45154-8610 Ph: (937) 444-2514 |
NPI Number | 1417992330 |
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Provider Enumeration Date | 06/17/2006 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 2264328749 |
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Medicare Enrollment ID | O20070423000506 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417992330 | NPI | - | NPPES |
0824184 | Medicaid | OH | |
CH7473 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Adams County Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Hughes Boulevard, Mount Orab, OH 45154 Phone: 937-346-8826 |