| Hickory Medical Direct Primary Care, LLC | |
|
208 W Columbus Ave Bellefontaine OH 43311-1434 | |
| (937) 404-2488 | |
| (937) 404-2428 |
| Full Name | Hickory Medical Direct Primary Care, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 208 W Columbus Ave, Bellefontaine, Ohio |
| Authorized Official Name and Position | Ryan D Kauffman (FOUNDER) |
| Authorized Official Contact | 9374042488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Medical Direct Primary Care, LLC 208 W Columbus Ave Bellefontaine OH 43311-1434 Ph: (937) 404-2488 | Hickory Medical Direct Primary Care, LLC 208 W Columbus Ave Bellefontaine OH 43311-1434 Ph: (937) 404-2488 |
| NPI Number | 1295196087 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295196087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Mad River Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2231 Timber Trl, Bellefontaine, OH 43311 Phone: 937-599-3115 Fax: 937-592-5285 |
Logan Family Medical Center LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Timber Trl, Bellefontaine, OH 43311 Phone: 937-593-3151 |
Mary Rutan Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Dowell Ave, Bellefontaine, OH 43311 Phone: 937-593-5437 Fax: 937-593-0110 |
Bellefontaine Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 E Columbus Ave Ste 1, Bellefontaine, OH 43311 Phone: 937-599-1411 Fax: 937-599-4128 |
Mary Rutan Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2231 Timber Trl, Bellefontaine, OH 43311 Phone: 937-599-3115 |
Maple Leaf Family and Sports Medicine, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2211 Timber Trail, Bellefontaine, OH 43311 Phone: 937-592-3808 Fax: 937-593-8404 |