| Bloom Healthcare | |
|
954 Sedgefield Ct Maineville OH 45039-7513 | |
| (970) 946-4607 | |
| Not Available |
| Full Name | Bloom Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 954 Sedgefield Ct, Maineville, Ohio |
| Authorized Official Name and Position | Debra K Wadelton (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 9709464607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Healthcare 10900 W 44th Ave Unit 200 Wheat Ridge CO 80033-2742 Ph: (970) 946-4607 | Bloom Healthcare 954 Sedgefield Ct Maineville OH 45039-7513 Ph: (970) 946-4607 |
| NPI Number | 1033680400 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033680400 | NPI | - | NPPES |
| 16108272 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Maineville Family Physicians Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 Nunner Rd., Maineville, OH 45039 Phone: 513-677-2405 Fax: 513-677-2781 |