| Hyatt Family Care | |
|
450 N Hyatt St Suite 202 Tipp City OH 45371-1433 | |
| (937) 669-9978 | |
| (937) 669-1266 |
| Full Name | Hyatt Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 450 N Hyatt St, Tipp City, Ohio |
| Authorized Official Name and Position | Pam Rader (ADMINISTRATOR) |
| Authorized Official Contact | 9374407454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyatt Family Care Po Box 479 Troy OH 45373-0479 Ph: (937) 669-9978 | Hyatt Family Care 450 N Hyatt St Suite 202 Tipp City OH 45371-1433 Ph: (937) 669-9978 |
| NPI Number | 1851490973 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851490973 | NPI | - | NPPES |
| 2616404 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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