| Internal Medicine And Pediatrics Of Centerville | |
|
6611 Clyo Rd Suite A Centerville Finance OH 45459-2786 | |
| (937) 208-7300 | |
| (937) 208-7330 |
| Full Name | Internal Medicine And Pediatrics Of Centerville |
|---|---|
| Speciality | Internal Medicine |
| Location | 6611 Clyo Rd, Centerville Finance, 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 |
|---|---|
| Internal Medicine And Pediatrics Of Centerville 6611 Clyo Rd Suite A Centerville OH 45459-2786 Ph: (937) 208-7300 | Internal Medicine And Pediatrics Of Centerville 6611 Clyo Rd Suite A Centerville Finance OH 45459-2786 Ph: (937) 208-7300 |
| NPI Number | 1154376242 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154376242 | NPI | - | NPPES |
| 0967486 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Health Appraisal Systems, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 Corporate Way, Centerville Finance, OH 45459 Phone: 937-435-0220 |