BASEDOW FAMILY CLINIC INC NPI 1730629411

NPI Information

BASEDOW FAMILY CLINIC INC is a non pharmacy dispensing site in Ironton, OH. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) BASEDOW FAMILY CLINIC INC NPI is 1730629411. The provider is registered as an organization entity type.

The provider's business location address is:

2301 S 7TH ST
SUITE 1
IRONTON, OH
ZIP 45638-542
Phone: (740) 532-3100

The provider's authorized official is Arlene Basedow .
The authorized official title is Owner and has the following contact phone number (740) 532-3100.

The CLIA number assigned to this NPI record is 36D0908049 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

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:

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