| Surecare Medical Center | |
|
360 W Central Ave Springboro OH 45066-1106 | |
| (937) 208-7100 | |
| (937) 208-7125 |
| Full Name | Surecare Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 360 W Central Ave, Springboro, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surecare Medical Center 360 W Central Ave Springboro OH 45066-1106 Ph: (937) 208-7100 | Surecare Medical Center 360 W Central Ave Springboro OH 45066-1106 Ph: (937) 208-7100 |
| NPI Number | 1639122641 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639122641 | NPI | - | NPPES |
| 8347926 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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