| Hospitalist Services Medical Group Of Springfield, Inc./mercy Springfi | |
|
1343 N Fountain Blvd Springfield OH 45504-1422 | |
| (937) 390-5000 | |
| Not Available |
| Full Name | Hospitalist Services Medical Group Of Springfield, Inc./mercy Springfi |
|---|---|
| Speciality | Internal Medicine |
| Location | 1343 N Fountain Blvd, Springfield, 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 |
|---|---|
| Hospitalist Services Medical Group Of Springfield, Inc./mercy Springfi 4750 Hempstead Station Dr Kettering OH 45429-5164 Ph: (800) 875-0136 | Hospitalist Services Medical Group Of Springfield, Inc./mercy Springfi 1343 N Fountain Blvd Springfield OH 45504-1422 Ph: (937) 390-5000 |
| NPI Number | 1285629113 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285629113 | NPI | - | NPPES |
| 203435 | Other | OH | EEOICP GROUP PROVIDER # |
| 000000334883 | Other | OH | ANTHEM |
| 2482648 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1430089 (Ohio) | Primary |
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