| Smith Family Healthcare | |
|
254 Pinecrest Dr Gallipolis OH 45631-1347 | |
| (740) 578-4824 | |
| (740) 578-4821 |
| Full Name | Smith Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 254 Pinecrest Dr, Gallipolis, Ohio |
| Authorized Official Name and Position | Dianna Kay Smith (PARTNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 7405784824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Family Healthcare 254 Pinecrest Dr Gallipolis OH 45631-1347 Ph: (740) 578-4824 | Smith Family Healthcare 254 Pinecrest Dr Gallipolis OH 45631-1347 Ph: (740) 578-4824 |
| NPI Number | 1750812293 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 12/15/2021 |
| Certification Date | 12/15/2021 |
| Medicare PECOS PAC ID | 3870861198 |
|---|---|
| Medicare Enrollment ID | O20170609001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750812293 | NPI | - | NPPES |
| 0462140 | Medicaid | OH |
| Provider Name | Kimberly A. Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972992196 PECOS PAC ID: 2769708213 Enrollment ID: I20150227002181 |
| Provider Name | Dianna K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669440723 PECOS PAC ID: 9436293651 Enrollment ID: I20161205002424 |
| Provider Name | Kayla Marie Zerkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982159364 PECOS PAC ID: 6305114992 Enrollment ID: I20170623000424 |
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