Fountain City Medical Clinic Inc in Bryan - General Practice
Fountain City Medical Clinic Inc - NPI 1083886915
Fountain City Medical Clinic Inc is a General Practice in Bryan, Ohio. Fountain City Medical Clinic Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fountain City Medical Clinic Inc is 1083886915. The last update date is 2008-04-01.
Fountain City Medical Clinic Inc's current location address is 324 W High St, Bryan, Ohio. You can contact this provider via phone number 4196362525 and fax number 4196360632. The mailing address for Fountain City Medical Clinic Inc is 324 W High St, Bryan, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fountain City Medical Clinic Inc |
|---|---|
| Address | 324 W High St, Bryan, Ohio |
| Phone Number | 4196362525 |
| Fax Number | 4196360632 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Galupo A Pedrito |
| Credentials | M.D. |
| Telephone Number | 4196362525 |
NPI Number Detail
| NPI Number | 1083886915 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 324 W High St |
|---|---|
| City | Bryan |
| State | Ohio (OH) |
| Post Code | 435061614 |
| Phone Number | 4196362525 |
| Fax Number | 4196360632 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 35033085 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identifier code assigned to Fountain City Medical Clinic Inc by the Centers for Medicare & Medicaid Services?
The Fountain City Medical Clinic Inc has been issued the NPI (National Provider Identifier) 1083886915 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Fountain City Medical Clinic Inc located?
The Fountain City Medical Clinic Inc is located at 324 W High St, Bryan, OH 435061614.
What is Fountain City Medical Clinic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fountain City Medical Clinic Inc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083886915 to Fountain City Medical Clinic Inc?
The Centers for Medicare & Medicaid Services originally issued the 1083886915 to Fountain City Medical Clinic Inc on 2008-04-01.
As of what date was the information regarding Fountain City Medical Clinic Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fountain City Medical Clinic Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-01.