| Healthsource: Seaman | |
|
218 Stern Rd Seaman OH 45679-9607 | |
| (937) 386-1379 | |
| (937) 386-0129 |
| Full Name | Healthsource: Seaman |
|---|---|
| Speciality | Clinic/Center |
| Location | 218 Stern Rd, Seaman, 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: Seaman 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (137) 074-0415 | Healthsource: Seaman 218 Stern Rd Seaman OH 45679-9607 Ph: (937) 386-1379 |
| NPI Number | 1205864162 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20070423000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205864162 | NPI | - | NPPES |
| 0824255 | Medicaid | OH | |
| CH7473 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Healthsource: Seaman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Stern Rd, Seaman, OH 45679 Phone: 937-386-1379 Fax: 937-386-1029 | |
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 | |
Northern Adams Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17862 Sr 247, Seaman, OH 45679 Phone: 937-386-3303 Fax: 937-386-3167 |