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NPI Code Detail

MEDICARE: HOPEWELL HEALTH CENTERS, INC.

MEDICARE: HOPEWELL HEALTH CENTERS, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1093570079
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPEWELL HEALTH CENTERS, INC.
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-0188
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-851-4438
Provider Business Practice Location Address
First Line : 100 WEST AVE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1674
Country : US
Telephone Number : 740-446-5554
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARK BRIDENBAUGH
Credential :
Telephone Number : 740-773-4366
Provider Enumeration Date : 02/19/2024
Last Update Date : 02/19/2024

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Directions to “HOPEWELL HEALTH CENTERS, INC. ” Practice Location

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