| Mingo Medical Group | |
|
201 Mclister Ave Mingo Junction OH 43938-1260 | |
| (740) 535-0555 | |
| (740) 535-2020 |
| Full Name | Mingo Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Mclister Ave, Mingo Junction, Ohio |
| Authorized Official Name and Position | William E Johns (OWNER) |
| Authorized Official Contact | 7405350555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mingo Medical Group 201 Mclister Ave Mingo Junction OH 43938-1260 Ph: (740) 535-0555 | Mingo Medical Group 201 Mclister Ave Mingo Junction OH 43938-1260 Ph: (740) 535-0555 |
| NPI Number | 1770609745 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 11/16/2010 |
| Medicare PECOS PAC ID | 5991739559 |
|---|---|
| Medicare Enrollment ID | O20050922000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770609745 | NPI | - | NPPES |
| 0446664 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35041816J (Ohio) | Primary |
| Provider Name | William Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174691257 PECOS PAC ID: 5395822662 Enrollment ID: I20101117000812 |
Practicare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Mclister Ave, Mingo Junction, OH 43938 Phone: 740-535-8068 Fax: 740-535-8079 |