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312 Highland Ave Suite H Washington Court House OH 43160-1819 | |
(740) 335-8608 | |
(740) 335-0137 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 312 Highland Ave, Washington Court House, 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 |
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424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | 312 Highland Ave Suite H Washington Court House OH 43160-1819 Ph: (740) 335-8608 |
NPI Number | 1861502452 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 09/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861502452 | NPI | - | NPPES |
0954436 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (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 | |