Heritage Family Medicine, Inc | |
110 S Broadway St Lebanon OH 45036-1728 | |
(513) 934-0900 | |
(513) 934-3732 |
Full Name | Heritage Family Medicine, Inc |
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Speciality | Family Medicine |
Location | 110 S Broadway St, Lebanon, Ohio |
Authorized Official Name and Position | James M Lacroix (OWNER) |
Authorized Official Contact | 5139340900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heritage Family Medicine, Inc Po Box 1312 Lebanon OH 45036-5312 Ph: (513) 934-0900 | Heritage Family Medicine, Inc 110 S Broadway St Lebanon OH 45036-1728 Ph: (513) 934-0900 |
NPI Number | 1710088844 |
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Provider Enumeration Date | 09/25/2006 |
Last Update Date | 09/16/2024 |
Medicare PECOS PAC ID | 2567434475 |
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Medicare Enrollment ID | O20100203000431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710088844 | NPI | - | NPPES |
DC0670 | Other | OH | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James Matthe Lacroix |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548239759 PECOS PAC ID: 7012997265 Enrollment ID: I20040721001158 |
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Hill County Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 Fox Hollow Dr, Lebanon, OH 45036 Phone: 513-282-2282 Fax: 513-556-2953 | |
Primary Care Partners Of Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 E Main St Ste F205, Lebanon, OH 45036 Phone: 513-325-4392 Fax: 513-409-5086 | |
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Healthsource: Lebanon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036 Phone: 513-696-4495 Fax: 513-228-1236 |