| Primary Care Associates Of New Lebanon, Llc | |
|
550 W Main St New Lebanon OH 45345-9172 | |
| (937) 687-1911 | |
| (937) 687-1888 |
| Full Name | Primary Care Associates Of New Lebanon, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 550 W Main St, New Lebanon, Ohio |
| Authorized Official Name and Position | Dennis Al Bingham (PHYSICIAN) |
| Authorized Official Contact | 9376871911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates Of New Lebanon, Llc 550 W Main St New Lebanon OH 45345-9172 Ph: (937) 687-1911 | Primary Care Associates Of New Lebanon, Llc 550 W Main St New Lebanon OH 45345-9172 Ph: (937) 687-1911 |
| NPI Number | 1588707889 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588707889 | NPI | - | NPPES |
| 000000284750 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
| 0317142 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35067795 (Ohio) | Primary |
New Lebanon Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 E Main St, New Lebanon, OH 45345 Phone: 937-687-1331 Fax: 937-687-3216 |