| Mound Family Practice Assoc Inc | |
|
1012 E Central Ave Miamisburg OH 45342-2556 | |
| (937) 866-0741 | |
| (937) 866-8861 |
| Full Name | Mound Family Practice Assoc Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1012 E Central Ave, Miamisburg, Ohio |
| Authorized Official Name and Position | William Brent Ashcraft (PRESIDENT) |
| Authorized Official Contact | 9378660741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mound Family Practice Assoc Inc 20 N Ridge Springboro OH 45066-9283 Ph: (937) 748-2699 | Mound Family Practice Assoc Inc 1012 E Central Ave Miamisburg OH 45342-2556 Ph: (937) 866-0741 |
| NPI Number | 1245324193 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245324193 | NPI | - | NPPES |
| 0959342 | Medicaid | OH | |
| CF1385 | Other | OH | RR MEDICARE |
| 000000003291 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
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