<unavail> in Coal Grove, OH - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Coal Grove, Ohio. The current practice location for is 225 Carlton Davidson Ln, Coal Grove, Ohio. For appointments, you can reach them via phone at (740) 533-6280. The mailing address for is 901 Washington St, Portsmouth, Ohio and phone number is (740) 355-8686.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225508195. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (740) 533-6280.

Contact Information


	225 Carlton Davidson Ln Coal Grove OH 45638-2924
	(740) 533-6280
	(740) 353-1662

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	225 Carlton Davidson Ln, Coal Grove, Ohio
Authorized Official Name and Position	Cynthia Holstein (CEO)
Authorized Official Contact	7403558686
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
901 Washington St Portsmouth OH 45662-3944 Ph: (740) 355-8686	225 Carlton Davidson Ln Coal Grove OH 45638-2924 Ph: (740) 533-6280

NPI Details:

NPI Number	1225508195
Provider Enumeration Date	12/04/2018
Last Update Date	05/09/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	7012902075
Medicare Enrollment ID	O20190214000950

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225508195	NPI	-	NPPES
0339264	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Coal Grove, OH

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Lane St, Coal Grove, OH 45638 Phone: 740-533-6206 Fax: 740-533-6284
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Carlton Davidson Ln, Coal Grove, OH 45638 Phone: 740-532-3048 Fax: 740-532-4777
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Carlton Davidson Ln, Coal Grove, OH 45638 Phone: 740-532-3048 Fax: 740-532-0319

- Medicare Primary Care in Coal Grove, OH