| Bridgeport Health Center | |
|
55741 National Rd Bridgeport OH 43912-1528 | |
| (740) 635-4572 | |
| (740) 635-4575 |
| Full Name | Bridgeport Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 55741 National Rd, Bridgeport, Ohio |
| Authorized Official Name and Position | Janice Elaine Riesmeyer (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3042433124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Health Center 1 Medical Park Business Office Nttc Janice Riesmeyer Wheeling WV 26003-6379 Ph: (304) 243-3124 | Bridgeport Health Center 55741 National Rd Bridgeport OH 43912-1528 Ph: (740) 635-4572 |
| NPI Number | 1093230211 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093230211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lazo Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55741 National Rd, Bridgeport, OH 43912 Phone: 740-635-4572 Fax: 740-635-4575 |