| Constantine V. Economous M.D. LLC | |
|
2370 Southeast Blvd Salem OH 44460-3418 | |
| (330) 332-9961 | |
| (330) 337-3282 |
| Full Name | Constantine V. Economous M.D. LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2370 Southeast Blvd, Salem, Ohio |
| Authorized Official Name and Position | Constantine V Economous (PRESIDENT) |
| Authorized Official Contact | 3303329961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Constantine V. Economous M.D. LLC 2370 Southeast Blvd Salem OH 44460-3418 Ph: (330) 332-9961 | Constantine V. Economous M.D. LLC 2370 Southeast Blvd Salem OH 44460-3418 Ph: (330) 332-9961 |
| NPI Number | 1659110898 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/19/2024 |
| Medicare PECOS PAC ID | 0648701813 |
|---|---|
| Medicare Enrollment ID | O20240930002511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659110898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Constantine V Economous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396850269 PECOS PAC ID: 4082746888 Enrollment ID: I20100714000440 |
| Provider Name | Victoria Mohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081873 PECOS PAC ID: 4587938642 Enrollment ID: I20170928000530 |
Mercy Health Salem Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 E 2nd St, Salem, OH 44460 Phone: 234-567-8150 |
Family Practice Center of Salem, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2370 Southeast Blvd, Salem, OH 44460 Phone: 330-332-9961 Fax: 330-332-3860 |
Salem Family Care LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 718 E 3rd St, Salem, OH 44460 Phone: 330-639-0880 Fax: 330-639-0880 |
Firestone Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2364 Southeast Blvd, Salem, OH 44460 Phone: 330-332-4833 Fax: 330-332-8220 |
Flourish Healthcare LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2870 E State St Unit 1000, Salem, OH 44460 Phone: 330-420-8702 |
Caa Health Center at Salem Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 E 2nd St, Salem, OH 44460 Phone: 330-424-7221 |