| Ou Community Health Programs | |
|
Ohio University Heritage College Of Osteopathic Medicin Grosvenor Hall 057 Athens OH 45701-2979 | |
| (740) 593-9364 | |
| (740) 593-9536 |
| Full Name | Ou Community Health Programs |
|---|---|
| Speciality | Clinic/center |
| Location | Ohio University Heritage College Of Osteopathic Medicin, Athens, Ohio |
| Authorized Official Name and Position | Kathleen Joyce Trace (DIRECTOR-COMMUNITY HEALTH PROGRAMS) |
| Authorized Official Contact | 7405939364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ou Community Health Programs Ohio University Heritage College Of Osteopathic Medicin Grosvenor Hall 057 Athens OH 45701-2979 Ph: (740) 593-9364 | Ou Community Health Programs Ohio University Heritage College Of Osteopathic Medicin Grosvenor Hall 057 Athens OH 45701-2979 Ph: (740) 593-9364 |
| NPI Number | 1568676138 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568676138 | NPI | - | NPPES |
| 2529704 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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