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Contact Information

CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES
100 W. MCCREIGHT AVE
STE 150
SPRINGFIELD, OH45504
 Phone: 937-323-1404
 Fax: 937-323-1407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES

NPI Number 1164452900
LBN Legal business name CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES
Authorized official SUSAN GABBARD - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/04/2006
Last updated 01/30/2017 - About 9 years ago
Identifiers
OH License # 207RC0000X
OH Medicaid 0942412
OH Other CM7602 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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