| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 218 Stern Rd, Seaman, Ohio |
| Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
| Authorized Official Contact | 5137074041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | 218 Stern Rd Seaman OH 45679-9607 Ph: (937) 386-1379 |
| NPI Number | 1023112224 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023112224 | NPI | - | NPPES |
| 0278950 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Hajjar Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17862 St Rt 247, Seaman, OH 45679 Phone: 937-386-3303 Fax: 937-386-3167 | |