Full Name | |
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Speciality | General Practice |
Location | 2000 Tamarack Rd, Newark, Ohio |
Authorized Official Name and Position | Cynthia L. Webster (VP FINANCIAL SERVICE) |
Authorized Official Contact | 7403484518 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2000 Tamarack Rd Newark OH 43055 Ph: (740) 348-1993 | 2000 Tamarack Rd Newark OH 43055 Ph: (740) 348-1993 |
NPI Number | 1154496503 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 02/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154496503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Primetown Ohio Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 N 21st St Ste A, Newark, OH 43055 Phone: 740-281-3663 Fax: 740-281-3818 | |
Lower Lights Christian Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 69 S Terrace Ave, Newark, OH 43055 Phone: 614-274-1455 Fax: 614-274-1433 |