| Jackson Family Practice Llc | |
|
500 Burlington Rd Suite 260 Jackson OH 45640-9360 | |
| (740) 577-9181 | |
| (740) 577-9214 |
| Full Name | Jackson Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Burlington Rd, Jackson, Ohio |
| Authorized Official Name and Position | Maryann Hartwick (PRACTICE MANAGER) |
| Authorized Official Contact | 7405779181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Practice Llc Po Box 190 Jackson OH 45640-0190 Ph: (740) 577-9181 | Jackson Family Practice Llc 500 Burlington Rd Suite 260 Jackson OH 45640-9360 Ph: (740) 577-9181 |
| NPI Number | 1467819920 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 03/24/2016 |
| Medicare PECOS PAC ID | 9234435249 |
|---|---|
| Medicare Enrollment ID | O20160316001908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467819920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Russell A Hartwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235116583 PECOS PAC ID: 6103820618 Enrollment ID: I20060914000005 |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14590 State Route 93, Jackson, OH 45640 Phone: 740-286-2826 | |
Adena Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Veterans Dr, Jackson, OH 45640 Phone: 740-395-8090 Fax: 740-395-8197 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 Phone: 740-286-2826 | |
Anchorstone Behavioral Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 E Main St Ste C, Jackson, OH 45640 Phone: 732-523-4057 | |
Ashland Hospital Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14395 State Rt 93, Jackson, OH 45640 Phone: 740-288-7681 Fax: 740-288-7682 | |
Hopewell Health Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Mccarty Ln, Jackson, OH 45640 Phone: 740-286-5245 Fax: 740-286-7642 | |
Ashland Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 E Main St, Jackson, OH 45640 Phone: 740-288-7681 Fax: 740-288-7682 |