| Fayette County Memorial Hospital | |
|
1510 Columbus Ave Suite # 230 Washington Court House OH 43160-1899 | |
| (740) 333-3333 | |
| (740) 333-5171 |
| Full Name | Fayette County Memorial Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 1510 Columbus Ave, Washington Court House, Ohio |
| Authorized Official Name and Position | Donald Michael Diener (CEO) |
| Authorized Official Contact | 7403332705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette County Memorial Hospital 1450 Columbus Ave Suite # B 6-7-8 Washington Court House OH 43160-3701 Ph: (740) 333-2236 | Fayette County Memorial Hospital 1510 Columbus Ave Suite # 230 Washington Court House OH 43160-1899 Ph: (740) 333-3333 |
| NPI Number | 1043380579 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 05/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043380579 | NPI | - | NPPES |
| 2970665 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1168 (Ohio) | Secondary |
| 208600000X | Surgery | 1168 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 1168 (Ohio) | Primary |
Adena Fayette Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Columbus Ave, Suite 230, Washington Court House, OH 43160 Phone: 740-333-3333 Fax: 740-333-5171 | |
Pesso Investments, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Columbus Ave, Ste 110, Washington Court House, OH 43160 Phone: 937-383-1040 Fax: 937-383-1380 | |
Healthsource Of Ohio, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Highland Ave, Ste H, Washington Court House, OH 43160 Phone: 740-335-8608 Fax: 740-335-0137 | |
Skin Firm, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 E Temple St, Washington Court House, OH 43160 Phone: 740-208-2550 Fax: 740-431-4447 | |
Dennis A Mesker Md Et Al Ptr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Columbus Ave, Ste 230, Washington Court House, OH 43160 Phone: 740-636-1650 Fax: 740-636-2772 | |
City Of Washington Internal Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Columbus Ave, Suite 201, Washington Court House, OH 43160 Phone: 740-333-6463 |