Salem Family Care Llc | |
718 E 3rd St Salem OH 44460-2915 | |
(330) 639-0880 | |
(330) 639-0880 |
Full Name | Salem Family Care Llc |
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Speciality | Family Medicine |
Location | 718 E 3rd St, Salem, Ohio |
Authorized Official Name and Position | Shannon P Whitehill (OFFICE MANAGER) |
Authorized Official Contact | 3306390880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Salem Family Care Llc 718 E 3rd St Salem OH 44460-2915 Ph: (330) 639-0880 | Salem Family Care Llc 718 E 3rd St Salem OH 44460-2915 Ph: (330) 639-0880 |
NPI Number | 1205692498 |
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Provider Enumeration Date | 02/26/2024 |
Last Update Date | 02/26/2024 |
Medicare PECOS PAC ID | 4284072554 |
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Medicare Enrollment ID | O20240404004034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205692498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michael J Sevilla |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114032901 PECOS PAC ID: 4385727569 Enrollment ID: I20100728000083 |
Provider Name | Joseph J Rousher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568738193 PECOS PAC ID: 4284959396 Enrollment ID: I20150212001795 |
Provider Name | Brianne M Bagwell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730435975 PECOS PAC ID: 5597072686 Enrollment ID: I20150922003034 |
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