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979 Congress Park Dr Centerville OH 45459-4009 | |
(937) 435-9013 | |
(937) 435-1458 |
Full Name | |
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Speciality | Family Medicine |
Location | 979 Congress Park Dr, Centerville, Ohio |
Authorized Official Name and Position | Mark A Couch (PRESIDENT) |
Authorized Official Contact | 9378983600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4700 Smith Rd Suite A Cincinnati OH 45212-2787 Ph: (513) 619-6819 | 979 Congress Park Dr Centerville OH 45459-4009 Ph: (937) 435-9013 |
NPI Number | 1073570370 |
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Provider Enumeration Date | 04/28/2006 |
Last Update Date | 01/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073570370 | NPI | - | NPPES |
0115342 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pioneer Health Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9223 Great Lakes Cir, Centerville, OH 45458 Phone: 937-912-9428 | |
Edgar Santillan Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-556-4324 Fax: 937-439-3786 | |
Sesslar Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6627 Centerville Business Pkwy, Centerville, OH 45459 Phone: 937-312-9212 Fax: 937-312-0742 |