Providence Medical Group
LBN: Providence Medical Group
Providence Medical Group is an health care organization with primary practice located at 2912 Springboro Rd W Suite 201, Dayton OH 45439-1674. The organization recently has 15 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Diabetes Educator, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / General Practice, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Providence Medical Group can be contacted via phone (937) 297-8999, or through Becker, Susan J via phone (937) 297-8999.
Contact Information
Primary practice address
2912 Springboro Rd W Suite 201
Dayton OH 45439-1674
Phone: (937) 297-8999
Fax: (937) 297-4852
Website:
Health care specialties
Profile Details
| NPI number | 1972533149 |
|---|---|
| LBN Legal business name | Providence Medical Group |
| DBA Doing business as | |
| Authorized official | Becker, Susan J COO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Oct 19th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972533149 | NPPES |
| Ohio | MEDICAID | 2380294 |
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