| |
4222 Grand Ave Middletown OH 45044-6129 | |
(513) 425-7401 | |
(513) 425-7402 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 4222 Grand Ave, Middletown, Ohio |
Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
Authorized Official Contact | 9372088213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4222 Grand Ave Middletown OH 45044-6129 Ph: (513) 425-7401 | 4222 Grand Ave Middletown OH 45044-6129 Ph: (513) 425-7401 |
NPI Number | 1669630505 |
---|---|
Provider Enumeration Date | 05/28/2008 |
Last Update Date | 05/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669630505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Hospitalist Medicine Physicians Of Ohio, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Middletown, OH 45005 Phone: 615-377-5600 | |
Medical Associates Of Middletown Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42 North Breiel Blvd, Middletown, OH 45042 Phone: 513-422-0024 Fax: 513-422-0232 | |
Hisey Physician Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Middletown, OH 45005 Phone: 513-974-2111 | |
Butler County Community Health Consortium, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 N Breiel Blvd Ste B, Middletown, OH 45042 Phone: 513-454-1111 | |