Hospital Services Medical Group Of Clark County Inc

LBN: Hospital Services Medical Group Of Clark County Inc
Hospital Services Medical Group Of Clark County Inc is an health care organization with primary practice located at 2615 E High St , Springfield OH 45505-1412. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Hospital Services Medical Group Of Clark County Inc can be contacted via phone (937) 325-0531, or through Kolodzik, Paul W via phone (800) 726-3627.

Contact Information

Primary practice address
2615 E High St Springfield OH 45505-1412
Fax:
Website:
Authorized official contact:
Name: Kolodzik, Paul W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1429529 Ohio

Profile Details

NPI number 1588659841
LBN Legal business name Hospital Services Medical Group Of Clark County Inc
DBA Doing business as
Authorized official Kolodzik, Paul W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2005
Last updated Sep 4th, 2008 - about 17 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 1588659841 NPPES
Ohio Other 203409 EEOICP GRP PROVIDER #
Ohio Other 202763100 EEOICP GRP PROVIDER #
Ohio MEDICAID 2490844 EEOICP GRP PROVIDER #
Ohio Other 020406300 EEOICP GRP PROVIDER #

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