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2900 Shiloh Springs Rd Ste Studio A Trotwood OH 45426-2139 | |
| (937) 528-6830 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Shiloh Springs Rd, Trotwood, Ohio |
| Authorized Official Name and Position | Gregory Hopkins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9375869733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1323 W 3rd St Dayton OH 45402-6714 Ph: (937) 586-9733 | 2900 Shiloh Springs Rd Ste Studio A Trotwood OH 45426-2139 Ph: (937) 528-6830 |
| NPI Number | 1669087649 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 12/21/2021 |
| Medicare PECOS PAC ID | 7012094386 |
|---|---|
| Medicare Enrollment ID | O20201130002561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669087649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Margaret A Edwards Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5308 Weddington Dr, Trotwood, OH 45426 Phone: 937-248-1825 | |