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1 E National Rd Vandalia OH 45377-2116 | |
(937) 898-3600 | |
(937) 898-2731 |
Full Name | |
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Speciality | Family Medicine |
Location | 1 E National Rd, Vandalia, 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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25 Merchant St Ste 220 - Attn Credentialing Cincinnati OH 45246-3740 Ph: (513) 533-1199 | 1 E National Rd Vandalia OH 45377-2116 Ph: (937) 898-3600 |
NPI Number | 1457317679 |
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Provider Enumeration Date | 04/25/2006 |
Last Update Date | 07/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457317679 | NPI | - | NPPES |
2098153 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hocks Wellness Consulting Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 S Dixie Dr, Vandalia, OH 45377 Phone: 937-889-2121 Fax: 937-898-9340 | |
North Dayton Addiction & Recovery, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S Dixie Drive, Suite 4, Vandalia, OH 45377 Phone: 937-416-5442 | |