MEDICARE: RANGE HEALTH CARE SERVICES LLC

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
2	363A00000X	Physician Assistant

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DT0416	OTHER		RR MEDICARE

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	:	1184927287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANGE HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	4875 UNION RD
Second Line	:
City	:	FRANKLIN
State	:	OH
Zip	:	45005-5127
Country	:	US
Telephone Number	:	513-673-5125
Fax Number	:

Provider Business Practice Location Address
First Line	:	4875 UNION RD
Second Line	:
City	:	FRANKLIN
State	:	OH
Zip	:	45005-5127
Country	:	US
Telephone Number	:	513-673-5125
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL A FRANCIS
Credential	:	PA
Telephone Number	:	513-673-5125

Provider Enumeration Date	:	12/10/2010
Last Update Date	:	04/12/2013

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Directions to “RANGE HEALTH CARE SERVICES LLC ” Practice Location

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