Healthcare Provider Details
I. General information
NPI: 1689386187
Provider Name (Legal Business Name): OHIO HILLS HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2022
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
68090 HAMMOND RD
SAINT CLAIRSVILLE OH
43950-9817
US
IV. Provider business mailing address
101 E MAIN ST
BARNESVILLE OH
43713-1005
US
V. Phone/Fax
- Phone: 740-239-6447
- Fax:
- Phone: 740-239-6447
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
BRITTON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 740-239-6447