| Jackson-vinton Community Action, Inc. | |
|
118 S New York Ave Wellston OH 45692-1540 | |
| (740) 384-3722 | |
| (740) 384-5405 |
| Full Name | Jackson-vinton Community Action, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 118 S New York Ave, Wellston, Ohio |
| Authorized Official Name and Position | Cheryl Thiessen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7403843722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson-vinton Community Action, Inc. 118 S New York Ave Wellston OH 45692-1540 Ph: (740) 384-3722 | Jackson-vinton Community Action, Inc. 118 S New York Ave Wellston OH 45692-1540 Ph: (740) 384-3722 |
| NPI Number | 1831134501 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831134501 | NPI | - | NPPES |
| 0319113 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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