| Healthsource: Batavia Family Practice | |
|
2055 Hospital Drive Suite 130 Batavia OH 45103-1946 | |
| (513) 732-0870 | |
| (513) 732-0873 |
| Full Name | Healthsource: Batavia Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 2055 Hospital Drive, Batavia, Ohio |
| Authorized Official Name and Position | Kimberly Patton (CEO) |
| Authorized Official Contact | 5135767700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource: Batavia Family Practice 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: Batavia Family Practice 2055 Hospital Drive Suite 130 Batavia OH 45103-1946 Ph: (513) 732-0870 |
| NPI Number | 1003862343 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 09/10/2020 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20070424000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003862343 | NPI | - | NPPES |
| 0827216 | Medicaid | OH | |
| CH7473 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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Clermont Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Batavia, OH 45103 Phone: 513-735-8804 Fax: 513-735-8839 | |
Clermont Internists Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Hospital Dr, Suite 300, Batavia, OH 45103 Phone: 513-732-0663 Fax: 513-732-1232 | |
Healthsource: Batavia Family Practice And Ob Gyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Hospital Drive, Suite 130, Batavia, OH 45103 Phone: 513-732-0870 Fax: 513-732-0873 | |
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