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BRISTOL VILLAGE HOMES NPI 1225248701


NPI Information

NPI: 1225248701
Provider Name: BRISTOL VILLAGE HOMES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
621 E 5TH ST
WAVERLY, OH
ZIP 45690
Phone: (740) 647-8670
Get Directions

BRISTOL VILLAGE HOMES is a family medicine in Waverly, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRISTOL VILLAGE HOMES NPI is 1225248701. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 E 5TH ST
WAVERLY, OH
ZIP 45690-505
Phone: (740) 647-8670
Fax: (740) 947-8680

The provider's authorized official is Jerry Kuyoth .
The authorized official title is Vice President and has the following contact phone number (614) 451-2151.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 11/27/2007.


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
1207Q00000XFamily 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
10213254MEDICAIDOHIO
29369901MEDICARE PINOHIO

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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