MEDICARE: MILTON UNION MEDICAL CENTER 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
1	207Q00000X	Family Medicine Physician	046499	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1972785780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILTON UNION MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	751 S MIAMI ST
Second Line	:
City	:	WEST MILTON
State	:	OH
Zip	:	45383-1303
Country	:	US
Telephone Number	:	937-698-4158
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 S MIAMI ST
Second Line	:
City	:	WEST MILTON
State	:	OH
Zip	:	45383-1303
Country	:	US
Telephone Number	:	937-698-4158
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. WILLIAM NORMAN GINN
Credential	:	M.D.
Telephone Number	:	937-698-4158

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	06/16/2010

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