| Rocking Horse Center Mulberry | |
|
120 W Mulberry St Springfield OH 45506-1666 | |
| (937) 328-7264 | |
| (937) 525-4543 |
| Full Name | Rocking Horse Center Mulberry |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 W Mulberry St, Springfield, Ohio |
| Authorized Official Name and Position | Shonda E Wallace (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9373241111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocking Horse Center Mulberry 651 S Limestone St Springfield OH 45505-1965 Ph: (937) 324-1111 | Rocking Horse Center Mulberry 120 W Mulberry St Springfield OH 45506-1666 Ph: (937) 328-7264 |
| NPI Number | 1912450495 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 12/11/2020 |
| Medicare PECOS PAC ID | 4789653890 |
|---|---|
| Medicare Enrollment ID | O20160927000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912450495 | NPI | - | NPPES |
| 0189630 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Jyothi Puram, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1176 E Home Rd, Springfield, OH 45503 Phone: 937-342-9861 Fax: 380-203-1298 | |
Innovative Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1835 E High St Ste 2, Springfield, OH 45505 Phone: 937-322-8977 Fax: 937-322-5837 | |
Rocking Horse Center Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 S Limestone St, Springfield, OH 45505 Phone: 937-324-1111 Fax: 937-525-4543 | |
Ajaz Umerani, M.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2121 E High St, Springfield, OH 45505 Phone: 937-325-3830 Fax: 937-325-3780 | |
Usacs Integrated Acute Care Services Of Ohio, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 330-994-4409 | |
Springfield Neurosurgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Limestone St, Suite 100, Springfield, OH 45503 Phone: 937-328-8018 Fax: 937-328-6203 | |
Rodney Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2057 S Limestone St, Springfield, OH 45505 Phone: 937-323-4003 Fax: 937-323-4023 |