| Arlington Family Practice, Inc. | |
|
906 N. Main Street Arlington OH 45814-0319 | |
| (419) 365-5153 | |
| (419) 365-0081 |
| Full Name | Arlington Family Practice, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 906 N. Main Street, Arlington, Ohio |
| Authorized Official Name and Position | Stephen John Freshwater (PRESIDENT) |
| Authorized Official Contact | 4193655153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlington Family Practice, Inc. 906 N. Main Street P.o. Box 319 Arlington OH 45814-0319 Ph: (419) 365-5153 | Arlington Family Practice, Inc. 906 N. Main Street Arlington OH 45814-0319 Ph: (419) 365-5153 |
| NPI Number | 1629275003 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 02/21/2008 |
| Medicare PECOS PAC ID | 9638336811 |
|---|---|
| Medicare Enrollment ID | O20120130000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629275003 | NPI | - | NPPES |
| 0922658 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Michael E Walton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326088238 PECOS PAC ID: 3779740964 Enrollment ID: I20120204000040 |
| Provider Name | Stephen J Freshwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245215607 PECOS PAC ID: 9133386329 Enrollment ID: I20120214000208 |