| Mary Rutan Internal Medicine | |
|
2231 Timber Trl Bellefontaine OH 43311-9036 | |
| (937) 599-3115 | |
| Not Available |
| Full Name | Mary Rutan Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 2231 Timber Trl, Bellefontaine, Ohio |
| Authorized Official Name and Position | Thomas Denbow (VP OF FINANCE AND DEVELOPMENT) |
| Authorized Official Contact | 9376516688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rutan Internal Medicine 2231 Timber Trl Bellefontaine OH 43311-9036 Ph: (937) 599-3115 | Mary Rutan Internal Medicine 2231 Timber Trl Bellefontaine OH 43311-9036 Ph: (937) 599-3115 |
| NPI Number | 1407610074 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/09/2024 |
| Medicare PECOS PAC ID | 9032013792 |
|---|---|
| Medicare Enrollment ID | O20240424001504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407610074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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