| Thomson Medical, Llc | |
|
79 W Central Ave Camden OH 45311-1007 | |
| (937) 452-1201 | |
| (937) 452-0004 |
| Full Name | Thomson Medical, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 09/30/2013 |
| Medicare PECOS PAC ID | 2860631025 |
|---|---|
| Medicare Enrollment ID | O20130619000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871836742 | NPI | - | NPPES |
| 0089156 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Derek W Thomson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790917656 PECOS PAC ID: 8123267382 Enrollment ID: I20130619000162 |
Camden Medical Building, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 79 W Central Ave, Camden, OH 45311 Phone: 937-452-1201 Fax: 937-452-0004 |