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6251 Good Samaritan Way Suite 210a Huber Heights OH 45424-1051 | |
| (937) 233-2009 | |
| (937) 233-8389 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 6251 Good Samaritan Way, Huber Heights, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6251 Good Samaritan Way Suite 210a Huber Heights OH 45424 Ph: (937) 233-2009 | 6251 Good Samaritan Way Suite 210a Huber Heights OH 45424-1051 Ph: (937) 233-2009 |
| NPI Number | 1467407544 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467407544 | NPI | - | NPPES |
| 0230502 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Community Health Centers Of Greater Dayton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6255 Chambersburg Rd, Huber Heights, OH 45424 Phone: 937-586-9733 | |
Simply Health For Life, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6076 Chambersburg Rd, Huber Heights, OH 45424 Phone: 937-623-9883 | |
Striebel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7391 Brandt Pike, Ste A, Huber Heights, OH 45424 Phone: 937-236-0373 Fax: 937-236-2737 |