Southern Local School District Wellness Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Racine, Ohio. The current practice location for Southern Local School District Wellness Center is 920 Elm St, Racine, Ohio. For appointments, you can reach them via phone at
(740) 949-2348. The mailing address for Southern Local School District Wellness Center is Po Box 609, Elizabeth, West Virginia and phone number is (304) 275-3301.
Southern Local School District Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1366762825. 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) 949-2348.
Primary Care Clinic Profile
| Full Name | Southern Local School District Wellness Center |
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| Speciality | Clinic/Center |
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| Location | 920 Elm St, Racine, Ohio |
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| Authorized Official Name and Position | Vicki L Knicely (BILLING/CREDENTIALING SUPERVISOR) |
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| Authorized Official Contact | 3042753301 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Southern Local School District Wellness Center
Po Box 609
Elizabeth
WV 26143-0609
Ph: (304) 275-3301 | Southern Local School District Wellness Center
920 Elm St
Racine
OH 45771-8902
Ph: (740) 949-2348 |
NPI Details:
| NPI Number | 1366762825 |
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| Provider Enumeration Date | 06/08/2010 |
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| Last Update Date | 09/07/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7810806577 |
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| Medicare Enrollment ID | O20110426000178 |
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Medical Identifiers
Medical identifiers for Southern Local School District Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366762825 | NPI | - | NPPES |
| 0085471 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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