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PERRY COUNTY FAMILY PRACTICE INC. NPI 1104835743


NPI Information

NPI: 1104835743
Provider Name: PERRY COUNTY FAMILY PRACTICE, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1625 AIRPORT RD
NEW LEXINGTON, OH
ZIP 43764
Phone: (740) 342-5158
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PERRY COUNTY FAMILY PRACTICE, INC. is a clinic center in New Lexington, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PERRY COUNTY FAMILY PRACTICE, INC. NPI is 1104835743. The provider is registered as an organization entity type.

The provider's business location address is:

1625 AIRPORT RD
NEW LEXINGTON, OH
ZIP 43764-749
Phone: (740) 342-5158
Fax: (740) 342-7393

The provider's authorized official is Theresa L Ulrich .
The authorized official title is Owner/social Worker and has the following contact phone number (740) 342-5158.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 3/28/2008.


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
1261Q00000XClinic/Center35-042516OHIOYes

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
1363829MEDICARE OSCAR/CERTIFICATION
20648580MEDICAIDOHIO
39922772MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE GRP#-ZANESVILLE
49922771MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE GRP#-NEW LEXINGT
50940996MEDICAIDOHIO

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: 11/14/2023

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