| South Point Family Medical Center | |
|
55 Township Road 508 E South Point OH 45680-7276 | |
| (740) 377-2712 | |
| (740) 377-2588 |
| Full Name | South Point Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Township Road 508 E, South Point, Ohio |
| Authorized Official Name and Position | Nancy J Lewis (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Contact | 7405323534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Point Family Medical Center 305 N 5th St Ironton OH 45638-1578 Ph: (740) 532-3534 | South Point Family Medical Center 55 Township Road 508 E South Point OH 45680-7276 Ph: (740) 377-2712 |
| NPI Number | 1336228212 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 01/03/2014 |
| Medicare PECOS PAC ID | 8820902497 |
|---|---|
| Medicare Enrollment ID | O20101101001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336228212 | NPI | - | NPPES |
| 3810014059 | Medicaid | WV | |
| 0949282 | Medicaid | OH | |
| 7100113440 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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South Point Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Township Road 508 E, South Point, OH 45680 Phone: 740-377-2712 Fax: 740-377-2588 | |
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