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COLLIER MEDICAL SERVICES LLC NPI 1164023677


NPI Information

NPI: 1164023677
Provider Name: COLLIER MEDICAL SERVICES LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 36D2193612

Address:
1661 STATE ROUTE 522 UNIT 2
WHEELERSBURG, OH
ZIP 45694
Phone: (740) 574-1770
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COLLIER MEDICAL SERVICES LLC is an internal medicine in Wheelersburg, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COLLIER MEDICAL SERVICES LLC NPI is 1164023677. The provider is registered as an organization entity type.

The provider's business location address is:

1661 STATE ROUTE 522 UNIT 2
WHEELERSBURG, OH
ZIP 45694-120
Phone: (740) 574-1770
Fax: (740) 574-8781

The provider's authorized official is Marilyn J Collier .
The authorized official title is Owner and has the following contact phone number (740) 574-1770.

The CLIA number assigned to this NPI record is 36D2193612 - other - primary care, occ health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0100XClinic/CenterOccupational MedicineNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11164023677OTHEROHIONPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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