MEDICARE: HOSPITALIST MEDICINE PHYSICIANS OF FRANKLIN COUNTY, LTD

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	207R00000X	Internal Medicine Physician

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	:	1326088782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITALIST MEDICINE PHYSICIANS OF FRANKLIN COUNTY, LTD

Provider Business Mailing Address
First Line	:	4535 DRESSLER RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2545
Country	:	US
Telephone Number	:	330-493-4443
Fax Number	:	330-493-8677

Provider Business Practice Location Address
First Line	:	1492 E BROAD ST
Second Line	:	TOWER 1503
City	:	COLUMBUS
State	:	OH
Zip	:	43205-1546
Country	:	US
Telephone Number	:	330-493-4443
Fax Number	:	330-493-8677

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID C PACKO
Credential	:	MD
Telephone Number	:	330-493-4443

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	10/24/2007

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