| Hopewell Health Centers, Inc. | |
|
106 Tyree Blvd Racine OH 45771-5008 | |
| (740) 444-5247 | |
| (740) 444-5249 |
| Full Name | Hopewell Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Tyree Blvd, Racine, Ohio |
| Authorized Official Name and Position | Mark Bridenbaugh (CEO) |
| Authorized Official Contact | 7407734366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopewell Health Centers, Inc. Po Box 188 Chillicothe OH 45601-0188 Ph: (740) 773-4366 | Hopewell Health Centers, Inc. 106 Tyree Blvd Racine OH 45771-5008 Ph: (740) 444-5247 |
| NPI Number | 1083388839 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/23/2021 |
| Medicare PECOS PAC ID | 9234049990 |
|---|---|
| Medicare Enrollment ID | O20211203002057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083388839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hopewell Health Centers, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Tyree Blvd, Racine, OH 45771 Phone: 740-444-5247 Fax: 740-444-5249 |