| Interim Healthcare Palliative Care Of The Midwest, Inc | |
|
300 W Wilson Bridge Rd Ste 250 Worthington OH 43085-2289 | |
| (614) 436-9404 | |
| Not Available |
| Full Name | Interim Healthcare Palliative Care Of The Midwest, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 W Wilson Bridge Rd Ste 250, Worthington, Ohio |
| Authorized Official Name and Position | Thomas J Dimarco (CEO) |
| Authorized Official Contact | 6144369404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interim Healthcare Palliative Care Of The Midwest, Inc 300 W Wilson Bridge Rd Ste 250 Worthington OH 43085-2289 Ph: (614) 436-9404 | Interim Healthcare Palliative Care Of The Midwest, Inc 300 W Wilson Bridge Rd Ste 250 Worthington OH 43085-2289 Ph: (614) 436-9404 |
| NPI Number | 1851911440 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Medicare PECOS PAC ID | 4688085301 |
|---|---|
| Medicare Enrollment ID | O20201201000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851911440 | NPI | - | NPPES |
| Provider Name | Sarah H Bonza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487694709 PECOS PAC ID: 2264527142 Enrollment ID: I20071008000256 |
| Provider Name | Emily B Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053509844 PECOS PAC ID: 1557459740 Enrollment ID: I20071126000209 |
| Provider Name | Carrie A Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437793387 PECOS PAC ID: 7214363571 Enrollment ID: I20200204002347 |
| Provider Name | Rebekka Lindamood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20220412000192 |
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