| Perry County Family Practice, Inc. | |
|
1625 Airport Rd New Lexington OH 43764-9749 | |
| (740) 342-5158 | |
| (740) 342-7393 |
| Full Name | Perry County Family Practice, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1625 Airport Rd, New Lexington, Ohio |
| Authorized Official Name and Position | Theresa L. Ulrich (PRACTICE MANAGER) |
| Authorized Official Contact | 7403425158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry County Family Practice, Inc. 1625 Airport Rd P.o. Box 596 New Lexington OH 43764-9749 Ph: (740) 342-5158 | Perry County Family Practice, Inc. 1625 Airport Rd New Lexington OH 43764-9749 Ph: (740) 342-5158 |
| NPI Number | 1003088790 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Medicare PECOS PAC ID | 3173505138 |
|---|---|
| Medicare Enrollment ID | O20040603000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003088790 | NPI | - | NPPES |
| 0940996 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35-042516 (Ohio) | Primary |
| Provider Name | Stephen C Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881670792 PECOS PAC ID: 6406838465 Enrollment ID: I20110302000012 |
| Provider Name | John Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144239096 PECOS PAC ID: 9931386356 Enrollment ID: I20110610000339 |
| Provider Name | Christy Dawn Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275044604 PECOS PAC ID: 9739447673 Enrollment ID: I20171221002686 |
| Provider Name | Corisa A Mccloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386290609 PECOS PAC ID: 5698106144 Enrollment ID: I20200516000081 |
Jdc Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Airport Rd, New Lexington, OH 43764 Phone: 740-342-5158 Fax: 740-342-6702 | |
Perry County Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Airport Rd, New Lexington, OH 43764 Phone: 740-342-5158 Fax: 740-342-7393 | |
Jeffrey J. Haggenjos, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Park Dr, Suite A, New Lexington, OH 43764 Phone: 740-343-4447 Fax: 740-343-4451 | |
Dr Bradley C Wilson Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7756 St Rt 37 East, New Lexington, OH 43764 Phone: 740-342-3540 Fax: 740-342-3879 | |
Perry County Family Practice, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1625 Airport Rd, New Lexington, OH 43764 Phone: 740-342-5158 Fax: 740-342-7393 | |
Lyons Primary Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 W Water St, New Lexington, OH 43764 Phone: 740-343-0450 |