| Adena Fayette Medical Center | |
|
1510 Columbus Ave Suite 230 Washington Court House OH 43160-1899 | |
| (740) 333-3333 | |
| (740) 333-5171 |
| Full Name | Adena Fayette Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1510 Columbus Ave, Washington Court House, Ohio |
| Authorized Official Name and Position | Lisa M Carlson (CFO) |
| Authorized Official Contact | 7407797582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adena Fayette Medical Center 1450 Columbus Ave Suite B 6-7-8 Washington Court House OH 43160-3701 Ph: (740) 333-2236 | Adena Fayette Medical Center 1510 Columbus Ave Suite 230 Washington Court House OH 43160-1899 Ph: (740) 333-3333 |
| NPI Number | 1013220805 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 05/26/2021 |
| Medicare PECOS PAC ID | 5294134664 |
|---|---|
| Medicare Enrollment ID | O20210604002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013220805 | NPI | - | NPPES |
| 363983 | Other | MEDICARE CCN |
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