Rocking Horse Center | |
601 Selma Rd Springfield OH 45505-2034 | |
(937) 324-7423 | |
(937) 325-1097 |
Full Name | Rocking Horse Center |
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Speciality | Clinic/Center |
Location | 601 Selma Rd, Springfield, Ohio |
Authorized Official Name and Position | Shonda 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 651 S Limestone St Springfield OH 45505-1965 Ph: (937) 324-1111 | Rocking Horse Center 601 Selma Rd Springfield OH 45505-2034 Ph: (937) 324-7423 |
NPI Number | 1700116407 |
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Provider Enumeration Date | 01/04/2010 |
Last Update Date | 12/11/2020 |
Medicare PECOS PAC ID | 4789653890 |
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Medicare Enrollment ID | O20160926002456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700116407 | NPI | - | NPPES |
3019147 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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