Phillipsburg Family Care | |
201 N Ludlow Street Phillipsburg OH 45354 | |
(937) 884-5112 | |
(937) 884-7855 |
Full Name | Phillipsburg Family Care |
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Speciality | Family Medicine |
Location | 201 N Ludlow Street, Phillipsburg, Ohio |
Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
Authorized Official Contact | 9372088213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phillipsburg Family Care P O Box 488 201 N Ludlow Street Phillipsburg OH 45354 Ph: (937) 884-5112 | Phillipsburg Family Care 201 N Ludlow Street Phillipsburg OH 45354 Ph: (937) 884-5112 |
NPI Number | 1417902982 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 11/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417902982 | NPI | - | NPPES |
0230664 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |