| Holmes Co. Board Of Mrdd | |
|
8001 Township Road 574 Holmesville OH 44633-9751 | |
| (330) 674-8045 | |
| (330) 674-5182 |
| Full Name | Holmes Co. Board Of Mrdd |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 8001 Township Road 574, Holmesville, Ohio |
| Authorized Official Name and Position | F. Scott Brace (SUPERINTENDENT) |
| Authorized Official Contact | 3306748045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holmes Co. Board Of Mrdd 8001 Township Road 574 Holmesville OH 44633-9751 Ph: (330) 674-8045 | Holmes Co. Board Of Mrdd 8001 Township Road 574 Holmesville OH 44633-9751 Ph: (330) 674-8045 |
| NPI Number | 1417018003 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417018003 | NPI | - | NPPES |
| 2280679 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |