| Medmoco, Llc | |
|
155 E Main St Mcconnelsville OH 43756-1296 | |
| (740) 517-0076 | |
| Not Available |
| Full Name | Medmoco, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 155 E Main St, Mcconnelsville, Ohio |
| Authorized Official Name and Position | Tammy Irene Morrow (FNP) |
| Authorized Official Contact | 7405170076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medmoco, Llc 314 S State Route 376 Se Mcconnelsville OH 43756-9631 Ph: (740) 517-0076 | Medmoco, Llc 155 E Main St Mcconnelsville OH 43756-1296 Ph: (740) 517-0076 |
| NPI Number | 1669963773 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669963773 | NPI | - | NPPES |
| 3601471 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APRN.CNP.13117 (Ohio) | Primary |
Morgan County Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4279 N State Route 376 Nw, Mcconnelsville, OH 43756 Phone: 740-962-2575 | |