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308 Highland Ave Ste H Washington Court House OH 43160-1819 | |
(740) 335-8608 | |
(740) 335-0137 |
Full Name | |
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Speciality | Clinic/Center |
Location | 308 Highland Ave, Washington Court House, 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) 704-4041 | 308 Highland Ave Ste H Washington Court House OH 43160-1819 Ph: (740) 335-8608 |
NPI Number | 1164458717 |
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Provider Enumeration Date | 06/24/2006 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 2264328749 |
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Medicare Enrollment ID | O20070424000433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164458717 | NPI | - | NPPES |
0953142 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
City Of Washington Internal Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Columbus Ave, Suite 201, Washington Court House, OH 43160 Phone: 740-333-6463 | |