| Miami Valley Mt Llc | |
|
5 N Main St Englewood OH 45322-1326 | |
| (937) 890-8660 | |
| Not Available |
| Full Name | Miami Valley Mt Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 5 N Main St, Englewood, Ohio |
| Authorized Official Name and Position | Richard Phillips (LMT) |
| Authorized Official Contact | 9378908660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Valley Mt Llc 4998 Clayton Rd Brookville OH 45309-8314 Ph: (937) 890-8660 | Miami Valley Mt Llc 5 N Main St Englewood OH 45322-1326 Ph: (937) 890-8660 |
| NPI Number | 1609409317 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609409317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Ohio Post-acute Medical Services 1 Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Lauricella Ct, Englewood, OH 45322 Phone: 937-836-5143 | |
Englewood Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W National Rd, Englewood, OH 45322 Phone: 937-208-8100 Fax: 937-208-8120 | |
R Chunduri Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 Union Blvd, Englewood, OH 45322 Phone: 937-836-7130 Fax: 937-836-9727 | |
Cs Pacs 3 Midwest Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Lauricella Ct, Englewood, OH 45322 Phone: 937-836-5143 |