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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
1207Q00000XFamily Medicine PhysicianOH

General Provider Information

NPI Number : 1770929762
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPEWELL HEALTH CENTERS INC
Provider Business Mailing Address
First Line : 1049 WESTERN AVE
Second Line : PO BOX 188
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number :
Provider Business Practice Location Address
First Line : 25716 WILSON ST
Second Line :
City : COOLVILLE
State : OH
Zip : 45723-8153
Country : US
Telephone Number : 740-773-4366
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARK BRIDENBAUGH
Credential :
Telephone Number : 740-773-4366
Provider Enumeration Date : 05/16/2013
Last Update Date : 10/02/2013

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Directions to “HOPEWELL HEALTH CENTERS INC ” Practice Location

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