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NPI Code Detail

MEDICARE: PIKE HEALTH SERVICES, INC

MEDICARE: PIKE HEALTH SERVICES, INC
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
1207Q00000XFamily Medicine Physician1299OH
2207R00000XInternal Medicine Physician1299OH
3282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1037358600OTHEROHHOSPITAL - DOL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000156779OTHEROHHOSPITAL - ANTHEM

General Provider Information

NPI Number : 1720018971
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIKE HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 272 HOSPITAL RD
Second Line : SUITE 3
City : CHILLICOTHEE
State : OH
Zip : 45601-9031
Country : US
Telephone Number : 740-779-4460
Fax Number : 740-779-4257
Provider Business Practice Location Address
First Line : 100 DAWN LANE
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9138
Country : US
Telephone Number : 740-947-2186
Fax Number : 740-947-6538
Authorized Official
Title or Position : VICE PRESIDENT FOR SYSTEM FINANCE
Name : JEFFREY GARDNER CRAFT
Credential :
Telephone Number : 740-779-4481
Provider Enumeration Date : 07/04/2006
Last Update Date : 02/28/2025

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1841325347 — PIKE HEALTH SERVICES, INC
Practice Location Address:
100 DAWN LN
WAVERLY, OH
45690-9138
Practice Phone: 740-947-2186
Practice Fax: 740-947-6538

Directions to “PIKE HEALTH SERVICES, INC ” Practice Location

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