| Holzer Psychiatric Services | |
|
100 Jackson Pike Gallipolis OH 45631-1560 | |
| (740) 446-5051 | |
| (740) 446-5522 |
| Full Name | Holzer Psychiatric Services |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| Authorized Official Name and Position | Michael R. Canady (CEO) |
| Authorized Official Contact | 7404465051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holzer Psychiatric Services 100 Jackson Pike Gallipolis OH 45631-1560 Ph: (740) 446-5051 | Holzer Psychiatric Services 100 Jackson Pike Gallipolis OH 45631-1560 Ph: (740) 446-5051 |
| NPI Number | 1356680466 |
|---|---|
| Provider Enumeration Date | 02/08/2013 |
| Last Update Date | 05/08/2018 |
| Medicare PECOS PAC ID | 6901896927 |
|---|---|
| Medicare Enrollment ID | O20130403000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356680466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 07-5487 (Ohio) | Primary |
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