| Jay Lugibihl, D.o., Inc. | |
|
29627 State Rt. 30 Hanoverton OH 44423 | |
| (330) 223-1547 | |
| (330) 223-1911 |
| Full Name | Jay Lugibihl, D.o., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 29627 State Rt. 30, Hanoverton, Ohio |
| Authorized Official Name and Position | Jay Richard Lugibihl (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 3302231547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Lugibihl, D.o., Inc. Po Box 195 Hanoverton OH 44423-0195 Ph: (330) 223-1547 | Jay Lugibihl, D.o., Inc. 29627 State Rt. 30 Hanoverton OH 44423 Ph: (330) 223-1547 |
| NPI Number | 1679744775 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Medicare PECOS PAC ID | 9133206410 |
|---|---|
| Medicare Enrollment ID | O20080410000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679744775 | NPI | - | NPPES |
| 0764481 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34. 003675 (Ohio) | Primary |
| Provider Name | Jay R Lugibihl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295764280 PECOS PAC ID: 7214030766 Enrollment ID: I20070321000390 |
Community Action Agency Of Columbiana County Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8143 State Route 9 Rm 2123, Hanoverton, OH 44423 Phone: 330-382-9075 |