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715 Lane St Coal Grove OH 45638-3161 | |
(740) 533-6206 | |
(740) 533-6284 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 715 Lane St, Coal Grove, Ohio |
Authorized Official Name and Position | Cynthia Holstein (CEO) |
Authorized Official Contact | 7403547702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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901 Washington St Portsmouth OH 45662-3944 Ph: (740) 354-7702 | 715 Lane St Coal Grove OH 45638-3161 Ph: (740) 533-6206 |
NPI Number | 1164794160 |
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Provider Enumeration Date | 02/07/2012 |
Last Update Date | 05/05/2022 |
Identifier | Type | State | Issuer |
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1164794160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Advanced Family Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Marion Pike, Coal Grove, OH 45638 Phone: 740-532-5944 | |