Beavertown Clinic Inc in Kettering - Family Medicine
Beavertown Clinic Inc - NPI 1902803703
Beavertown Clinic Inc is a Family Medicine in Kettering, Ohio. Beavertown Clinic Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Beavertown Clinic Inc is 1902803703. The last update date is 2010-02-23.
Beavertown Clinic Inc's current location address is 3017 Wilmington Pike, Kettering, Ohio. You can contact this provider via phone number 9372942555 and fax number 9372943211. The mailing address for Beavertown Clinic Inc is 3017 Wilmington Pike, Kettering, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beavertown Clinic Inc |
|---|---|
| Address | 3017 Wilmington Pike, Kettering, Ohio |
| Phone Number | 9372942555 |
| Fax Number | 9372943211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Rose J Bernard |
| Credentials | M.D. |
| Telephone Number | 9372942555 |
NPI Number Detail
| NPI Number | 1902803703 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2010-02-23 |
Provider Mailing Address Detail
| Address | 3017 Wilmington Pike |
|---|---|
| City | Kettering |
| State | Ohio (OH) |
| Post Code | 454294169 |
| Phone Number | 9372942555 |
| Fax Number | 9372943211 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35058825R |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R00609981 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Beavertown Clinic Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Beavertown Clinic Inc has been assigned the NPI (National Provider Identifier) 1902803703. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Beavertown Clinic Inc's physical address?
The Beavertown Clinic Inc is physically located at 3017 Wilmington Pike, in the city of Kettering, OH, with the postal code 454294169.
What is Beavertown Clinic Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beavertown Clinic Inc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Beavertown Clinic Inc receive its 1902803703?
The Beavertown Clinic Inc was issued its 1902803703 on 2005-07-07, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Beavertown Clinic Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beavertown Clinic Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-02-23.
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