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711 Main St Zanesville OH 43701-3731 | |
| (740) 452-5401 | |
| (740) 452-4493 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 711 Main St, Zanesville, Ohio |
| Authorized Official Name and Position | Peggy Orecchio (APPOINTED INTERIM DIRECTOR) |
| Authorized Official Contact | 7404525401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
711 Main St Zanesville OH 43701-3731 Ph: (740) 452-5401 | 711 Main St Zanesville OH 43701-3731 Ph: (740) 452-5401 |
| NPI Number | 1447342795 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 7517272651 |
|---|---|
| Medicare Enrollment ID | O20150818005133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447342795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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