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4000 Miamisburg Centerville Rd Miamisburg OH 45342-7615 | |
(937) 384-4329 | |
(937) 384-4853 |
Full Name | |
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Speciality | Clinic/center |
Location | 4000 Miamisburg Centerville Rd, Miamisburg, Ohio |
Authorized Official Name and Position | Daniel D Haibach (DIRECTOR OF NETWORK CONTRACTING) |
Authorized Official Contact | 9375583222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2110 Leiter Rd Miamisburg OH 45342-3598 Ph: (937) 384-4838 | 4000 Miamisburg Centerville Rd Miamisburg OH 45342-7615 Ph: (937) 384-4329 |
NPI Number | 1861666141 |
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Provider Enumeration Date | 04/17/2008 |
Last Update Date | 10/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861666141 | NPI | - | NPPES |
2461429 | Medicaid | OH | |
2963164 | Medicaid | OH | |
2884142 | Medicaid | OH | |
0559435 | Medicaid | OH | |
0707882 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Internal Medicine Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 Leiter Rd, Miamisburg, OH 45342 Phone: 937-384-6800 Fax: 937-384-6939 | |
Ws Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 | |
Mound Family Practice Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Central Ave, Miamisburg, OH 45342 Phone: 937-866-0741 Fax: 937-866-8861 | |