| Primed Physicians | |
|
4000 Miamisburg Centerville Rd Suite 104 Miamisburg OH 45342 | |
| (937) 859-1117 | |
| (937) 859-9038 |
| Full Name | Primed Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 Miamisburg Centerville Rd, Miamisburg, 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 |
|---|---|
| Primed Physicians 4700 Smith Rd Suite A Cincinnati OH 45212-2787 Ph: (513) 619-6819 | Primed Physicians 4000 Miamisburg Centerville Rd Suite 104 Miamisburg OH 45342 Ph: (937) 859-1117 |
| NPI Number | 1639136013 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 12/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639136013 | NPI | - | NPPES |
| CA2478 | Other | MEDICARE RR GROUP NUMBER | |
| 2178558 | Medicaid | OH | |
| 314422758001 | Other | TRICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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