| Life Medical Center, Inc. | |
|
80 Troy Town Dr Troy OH 45373-2328 | |
| (937) 681-5740 | |
| Not Available |
| Full Name | Life Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 80 Troy Town Dr, Troy, Ohio |
| Authorized Official Name and Position | Julie Renee Grawe (BILLING SPECIALIST) |
| Authorized Official Contact | 9376815740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Medical Center, Inc. Po Box 4428 Sidney OH 45365-4428 Ph: () - | Life Medical Center, Inc. 80 Troy Town Dr Troy OH 45373-2328 Ph: (937) 681-5740 |
| NPI Number | 1083799357 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083799357 | NPI | - | NPPES |
| 2563757 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35067724 (Ohio) | Primary |
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