Organization Name: | HOPEWELL HEALTH CENTERS INC |
NPI Number: | 1902993264 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK A BRIDENBAUGH (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 88 N Plains Rd The Plains |
State: | OH US |
Postal Code: | 457801162 |
Phone Number: | 7407972352 |
Fax Number: | 7407972465 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |