| Springfield Healthcare Center Inc | |
|
30 Warder St Suite 100 Springfield OH 45504-2500 | |
| (937) 328-2310 | |
| (937) 329-2303 |
| Full Name | Springfield Healthcare Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Warder St, Springfield, Ohio |
| Authorized Official Name and Position | Elizabeth Marsh (PRESIDENT) |
| Authorized Official Contact | 9373282310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Healthcare Center Inc 30 Warder St Suite 100 Springfield OH 45504-2500 Ph: (937) 328-2310 | Springfield Healthcare Center Inc 30 Warder St Suite 100 Springfield OH 45504-2500 Ph: (937) 328-2310 |
| NPI Number | 1639142367 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 04/10/2012 |
| Medicare PECOS PAC ID | 2062446495 |
|---|---|
| Medicare Enrollment ID | O20050923000977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639142367 | NPI | - | NPPES |
| 0793333 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Marsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336112069 PECOS PAC ID: 8224062658 Enrollment ID: I20110131000273 |
| Provider Name | Vipul K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548233851 PECOS PAC ID: 3072792555 Enrollment ID: I20110131000324 |
| Provider Name | Cynthia Mcmaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840548 PECOS PAC ID: 6709101439 Enrollment ID: I20150220001260 |
| Provider Name | Jillian Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831851278 PECOS PAC ID: 3577946532 Enrollment ID: I20220824001190 |
| Provider Name | Kasi Marquette Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477832541 PECOS PAC ID: 2163807637 Enrollment ID: I20220920000719 |
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