Yellow Springs Primary Care, Inc

LBN: Yellow Springs Primary Care, Inc
Yellow Springs Primary Care, Inc is an health care organization with primary practice located at 888 Dayton St Unit 106 , Yellow Springs OH 45387-1778. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Yellow Springs Primary Care, Inc can be contacted via phone (937) 767-1088, or through Gronbeck, Donald via phone (937) 767-1088.

Contact Information

Primary practice address
888 Dayton St Unit 106 Yellow Springs OH 45387-1778
Fax: (937) 767-1022
Website:
Authorized official contact:
Name: Gronbeck, Donald Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 35.120593 Ohio
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1992127500
LBN Legal business name Yellow Springs Primary Care, Inc
DBA Doing business as
Authorized official Gronbeck, Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2014
Last updated Feb 2nd, 2021 - about 3 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 1992127500 NPPES
Ohio MEDICAID 0096525

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