Organization Name: | COUNTY WIDE HEALTH, INC. |
NPI Number: | 1285770800 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES RICHARD BILLITER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 4282 State Route 93 Ironton |
State: | OH US |
Postal Code: | 456388358 |
Phone Number: | 7405327246 |
Fax Number: | 7405328410 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | 200423803440 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |