| Open Awareness Medical Llc | |
|
875 Blake Ave Sw Suite #2 New Philadelphia OH 44663-9338 | |
| (330) 339-9000 | |
| (330) 339-1122 |
| Full Name | Open Awareness Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 875 Blake Ave Sw, New Philadelphia, Ohio |
| Authorized Official Name and Position | Randy W Mcclelland (OFFICE MANAGER) |
| Authorized Official Contact | 3303399000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Awareness Medical Llc 875 Blake Ave Sw Suite #2 New Philadelphia OH 44663-9338 Ph: (330) 339-9000 | Open Awareness Medical Llc 875 Blake Ave Sw Suite #2 New Philadelphia OH 44663-9338 Ph: (330) 339-9000 |
| NPI Number | 1275863896 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275863896 | NPI | - | NPPES |
| 0340929 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Community Hospice Palliative Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 716 Commercial Ave Sw, New Philadelphia, OH 44663 Phone: 330-343-7605 Fax: 330-343-3542 | |
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