| Jamestown Family Medicine | |
|
4940 Cottonville Rd Suite 100 Jamestown OH 45335-1522 | |
| (937) 675-6830 | |
| (937) 675-6835 |
| Full Name | Jamestown Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4940 Cottonville Rd, Jamestown, 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 |
|---|---|
| Jamestown Family Medicine 4940 Cottonville Rd Suite 100 Jamestown OH 45335-1522 Ph: (937) 675-6830 | Jamestown Family Medicine 4940 Cottonville Rd Suite 100 Jamestown OH 45335-1522 Ph: (937) 675-6830 |
| NPI Number | 1982657318 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982657318 | NPI | - | NPPES |
| 2517164 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Kettering Health Primary Care, A Service Of Kettering Health Greene Me Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 | |
Digestive Specialists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Cottonville Rd, Jamestown, OH 45335 Phone: 937-293-4424 Fax: 937-395-3682 |