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NPI Code Detail

MEDICARE: PRIME HEALTH MEDICAL SERVICES

MEDICARE: PRIME HEALTH MEDICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician35-068963OH
2111N00000XChiropractor1982OH
3261QP3300XPain Clinic/Center350868963GOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124298443
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIME HEALTH MEDICAL SERVICES
Provider Business Mailing Address
First Line : 8120 GARNET DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-2141
Country : US
Telephone Number : 937-291-2511
Fax Number : 937-291-2523
Provider Business Practice Location Address
First Line : 8120 GARNET DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-2141
Country : US
Telephone Number : 937-291-2511
Fax Number : 937-291-2523
Authorized Official
Title or Position : PRESIDENT
Name : DR. LAILA GOMAA
Credential : M.D.
Telephone Number : 937-291-2511
Provider Enumeration Date : 03/03/2008
Last Update Date : 01/10/2011

Similar Medicare Providers

1356341911 — DR. LAILA IBRAHIM GOMAA MD
Practice Location Address:
8120 GARNET DR
DAYTON, OH
45458-2141
Practice Phone: 937-291-2511
Practice Fax: 937-291-2523
1326145137 — CHERYL P VARGAS M.D.
Practice Location Address:
8120 GARNET DR
DAYTON, OH
45458-2141
Practice Phone: 513-834-7063
Practice Fax: 513-873-1567
1588840458 — MRS. JANET K SCUDDER OTR/L
Practice Location Address:
8120 GARNET DR
DAYTON, OH
45458-2141
Practice Phone: 937-291-2523
Practice Fax:
1487832598 — MRS. JANET LINN BLACK LPCC-S
Practice Location Address:
8120 GARNET DR
DAYTON, OH
45458-2141
Practice Phone: 513-834-7063
Practice Fax:
1841462728 — MRS. HEDI E COX LMT
Practice Location Address:
8120 GARNET DR
DAYTON, OH
45458-2141
Practice Phone: 937-291-2511
Practice Fax:
1801188842 — PRIME FAMILY HEALTH CENTER OF DAYTON LLC
Practice Location Address:
8120 GARNET DR
DAYTON, OH
45458-2141
Practice Phone: 937-291-2511
Practice Fax: 937-291-2523

Directions to “PRIME HEALTH MEDICAL SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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