| Longfellow, Inc. | |
|
306 E High St Mount Vernon OH 43050-3420 | |
| (740) 392-4878 | |
| (740) 392-6894 |
| Full Name | Longfellow, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 306 E High St, Mount Vernon, Ohio |
| Authorized Official Name and Position | Chad Everett Longfellow (PRESIDENT) |
| Authorized Official Contact | 7403924878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longfellow, Inc. 306 E High St Mount Vernon OH 43050-3420 Ph: (740) 392-4878 | Longfellow, Inc. 306 E High St Mount Vernon OH 43050-3420 Ph: (740) 392-4878 |
| NPI Number | 1477731727 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477731727 | NPI | - | NPPES |
| 000000503889 | Other | OH | ANTHEM PROVIDER # |
| 1912935859 | Other | OH | RENDERING PROVIDER'S NPI # |
| 2719133 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1575 (Ohio) | Primary |
| 261QH0100X | Clinic/center - Health Service | 1575 (Ohio) | Secondary |
Physician Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-5537 Fax: 740-393-5577 | |
Knox County General Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 W High St, Mount Vernon, OH 43050 Phone: 740-392-1181 Fax: 740-392-1180 | |
Knox Medical Specialists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 Yauger Rd, Mount Vernon, OH 43050 Phone: 740-397-8500 Fax: 740-397-8527 | |
Richard B. Ogle Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Mulberry St, Mount Vernon, OH 43050 Phone: 740-397-3553 Fax: 740-392-4158 | |
Knox Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-393-6583 Fax: 740-392-0167 | |
Ogle Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Mulberry St, Suite B, Mount Vernon, OH 43050 Phone: 740-397-3553 Fax: 740-392-4158 | |
Knox County General Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 W Vine St, Mount Vernon, OH 43050 Phone: 740-399-8008 Fax: 740-392-9613 |