| Scioto Paint Valley Mh Ctr | |
|
4449 State Route 159 Chillicothe OH 45601-8620 | |
| (740) 775-1260 | |
| Not Available |
| Full Name | Scioto Paint Valley Mh Ctr |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4449 State Route 159, Chillicothe, Ohio |
| Authorized Official Name and Position | Debi Nolan (FOLLOW UP SPECIALIST/CREDENTIALING) |
| Authorized Official Contact | 7407727909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scioto Paint Valley Mh Ctr 4449 State Route 159 Chillicothe OH 45601-8620 Ph: (740) 775-1260 | Scioto Paint Valley Mh Ctr 4449 State Route 159 Chillicothe OH 45601-8620 Ph: (740) 775-1260 |
| NPI Number | 1053679100 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053679100 | NPI | - | NPPES |
| 2921253 | Medicaid | OH | |
| 2401332 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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