Healthsource: New Richmond Family Practice | |
100 River Valley Blvd New Richmond OH 45157-8566 | |
(513) 553-3114 | |
(513) 553-1032 |
Full Name | Healthsource: New Richmond Family Practice |
---|---|
Speciality | Clinic/Center |
Location | 100 River Valley Blvd, New Richmond, 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: New Richmond Family Practice 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: New Richmond Family Practice 100 River Valley Blvd New Richmond OH 45157-8566 Ph: (513) 553-3114 |
NPI Number | 1942242284 |
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Provider Enumeration Date | 06/12/2006 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 2264328749 |
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Medicare Enrollment ID | O20070423000523 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942242284 | NPI | - | NPPES |
0824200 | Medicaid | OH | |
CH7473 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Healthsource: New Richmond Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 River Valley Blvd, New Richmond, OH 45157 Phone: 513-553-3114 Fax: 513-553-1032 |