Thomson Medical, Llc | |
79 W Central Ave Camden OH 45311-1007 | |
(937) 452-1201 | |
(937) 452-0004 |
Full Name | Thomson Medical, Llc |
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Speciality | Family Medicine |
Location | 79 W Central Ave, Camden, Ohio |
Authorized Official Name and Position | Derek W Thomson (OWNER) |
Authorized Official Contact | 9374521201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomson Medical, Llc Po Box 39 Camden OH 45311-0039 Ph: (937) 452-1201 | Thomson Medical, Llc 79 W Central Ave Camden OH 45311-1007 Ph: (937) 452-1201 |
NPI Number | 1871836742 |
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Provider Enumeration Date | 03/29/2013 |
Last Update Date | 09/30/2013 |
Medicare PECOS PAC ID | 2860631025 |
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Medicare Enrollment ID | O20130619000143 |
Identifier | Type | State | Issuer |
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1871836742 | NPI | - | NPPES |
0089156 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Derek W Thomson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790917656 PECOS PAC ID: 8123267382 Enrollment ID: I20130619000162 |
Provider Name | Ashley Danielle Lamb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376169516 PECOS PAC ID: 2567889413 Enrollment ID: I20200824003335 |