Primaryone Health | |
600 N Pickaway St Suite 300 Mo Building Circleville OH 43113-1447 | |
(740) 207-4202 | |
(740) 207-4221 |
Full Name | Primaryone Health |
---|---|
Speciality | Clinic/Center |
Location | 600 N Pickaway St, Circleville, Ohio |
Authorized Official Name and Position | Charleta B Tavares (CEO) |
Authorized Official Contact | 6148591946 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Primaryone Health 2780 Airport Dr Ste 100 Columbus OH 43219-2289 Ph: (614) 859-1906 | Primaryone Health 600 N Pickaway St Suite 300 Mo Building Circleville OH 43113-1447 Ph: (740) 207-4202 |
NPI Number | 1578985453 |
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Provider Enumeration Date | 01/13/2014 |
Last Update Date | 01/26/2024 |
Medicare PECOS PAC ID | 3678469129 |
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Medicare Enrollment ID | O20140326002273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578985453 | NPI | - | NPPES |
0104410 | Medicaid | OH | |
361044 | Other | OH | MEDICARE PART A |
36D2070605 | Other | OH | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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