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2172 State Route 127 N Eaton OH 45320-9289 | |
(937) 456-1915 | |
(937) 456-2208 |
Full Name | |
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Speciality | Clinic/center |
Location | 2172 State Route 127 N, Eaton, Ohio |
Authorized Official Name and Position | Tabatha L Masters (BILLING) |
Authorized Official Contact | 9377344334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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601 S Edwin C Moses Blvd Dayton OH 45417-3424 Ph: (937) 734-4334 | 2172 State Route 127 N Eaton OH 45320-9289 Ph: (937) 456-1915 |
NPI Number | 1811949894 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 08/25/2021 |
Identifier | Type | State | Issuer |
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1811949894 | NPI | - | NPPES |
2433432 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 503 (Ohio) | Primary |
Harold A Ferguson Jr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 B Washington Jackson Rd, Suite 102, Eaton, OH 45320 Phone: 937-456-8360 Fax: 937-456-8363 | |
Mark S Vosler Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450b Washington Jackson Rd, Ste 108, Eaton, OH 45320 Phone: 937-456-8332 Fax: 937-456-8335 | |
Internal Medicine Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450b Washington Jackson Rd, Suite 112, Eaton, OH 45320 Phone: 937-429-0607 Fax: 937-558-3067 | |