Hospitalist Services Medical Group Of Hamilton, Inc./ft. Hamilton Hosp | |
630 Eaton Ave Hamilton OH 45013-2767 | |
(513) 867-2000 | |
Not Available |
Full Name | Hospitalist Services Medical Group Of Hamilton, Inc./ft. Hamilton Hosp |
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Speciality | Internal Medicine |
Location | 630 Eaton Ave, Hamilton, Ohio |
Authorized Official Name and Position | Paul W Kolodzik (COO) |
Authorized Official Contact | 8007263627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hospitalist Services Medical Group Of Hamilton, Inc./ft. Hamilton Hosp 4750 Hempstead Station Dr Kettering OH 45429-5164 Ph: (800) 875-0136 | Hospitalist Services Medical Group Of Hamilton, Inc./ft. Hamilton Hosp 630 Eaton Ave Hamilton OH 45013-2767 Ph: (513) 867-2000 |
NPI Number | 1730174087 |
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Provider Enumeration Date | 09/13/2005 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730174087 | NPI | - | NPPES |
2482620 | Medicaid | OH | |
DB6528 | Other | OH | GROUP RRMEDICARE NUMBER |
203436 | Other | OH | EEOICP GRP PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1429528 (Ohio) | Primary |
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