| Centermed Family Practice | |
|
896 S Main St Centerville OH 45458-3439 | |
| (937) 436-3117 | |
| (937) 436-0730 |
| Full Name | Centermed Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 896 S Main St, Centerville, Ohio |
| Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9375583222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centermed Family Practice 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Centermed Family Practice 896 S Main St Centerville OH 45458-3439 Ph: (937) 436-3117 |
| NPI Number | 1922384247 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922384247 | NPI | - | NPPES |
| 2639630 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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