Washington Commercial Llc | |
4 Commercial Ave Washington Court House OH 43160-2197 | |
(740) 333-7296 | |
(740) 333-7866 |
Full Name | Washington Commercial Llc |
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Speciality | Family Medicine |
Location | 4 Commercial Ave, Washington Court House, Ohio |
Authorized Official Name and Position | Kim Hamilton (OFFICE MANAGER) |
Authorized Official Contact | 7403337296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Washington Commercial Llc 4 Commercial Ave Washington Court House OH 43160-2197 Ph: (740) 333-7296 | Washington Commercial Llc 4 Commercial Ave Washington Court House OH 43160-2197 Ph: (740) 333-7296 |
NPI Number | 1932678034 |
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Provider Enumeration Date | 11/19/2018 |
Last Update Date | 11/19/2018 |
Medicare PECOS PAC ID | 1850627852 |
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Medicare Enrollment ID | O20190730000281 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932678034 | NPI | - | NPPES |
0489314 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Beverly Jean Yamour |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376512624 PECOS PAC ID: 0547329161 Enrollment ID: I20081111000306 |
City Of Washington Internal Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Columbus Ave, Suite 201, Washington Court House, OH 43160 Phone: 740-333-6463 | |