| Organization Name: | PRIMARY CARE ASSOCIATES OF NEW LEBANON, LLC |
| NPI Number: | 1588707889 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS AL BINGHAM (PHYSICIAN) |
| Mailing Address: | 550 W Main St New Lebanon |
| State: | OH US |
| Postal Code: | 453459172 |
| Phone Number: | 9376871911 |
| Fax Number: | 9376871888 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 35067795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |