Beavertown Clinic Inc

LBN: Beavertown Clinic Inc
Beavertown Clinic Inc is an health care organization with primary practice located at 3017 Wilmington Pike , Kettering OH 45429-4169. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Beavertown Clinic Inc can be contacted via phone (937) 294-2555, or through Rose, Bernard J via phone (937) 294-2555.

Contact Information

Primary practice address
3017 Wilmington Pike Kettering OH 45429-4169
Phone: (937) 294-2555
Fax: (937) 294-3211
Website:
Map and Directions
Authorized official contact:
Name: Rose, Bernard J Doctor of Medicine (MD)
Phone: (937) 294-2555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35052219R Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35058825R Ohio

Profile Details

NPI number 1902803703
LBN Legal business name Beavertown Clinic Inc
DBA Doing business as
Authorized official Rose, Bernard J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 23rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902803703 NPPES
Ohio MEDICAID R00609981

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