Basic Information
Provider Information
NPI: 1427417542
EntityType: 2
ReplacementNPI:  
OrganizationName: HOPEWELL HEALTH CENTERS INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 188
Address2:  
City: CHILLICOTHE
State: OH
PostalCode: 456010188
CountryCode: US
TelephoneNumber: 7407734366
FaxNumber: 7407757855
Practice Location
Address1: 90 HOSPITAL DR
Address2:  
City: ATHENS
State: OH
PostalCode: 457012301
CountryCode: US
TelephoneNumber: 7405923091
FaxNumber: 7405921191
Other Information
ProviderEnumerationDate: 02/17/2016
LastUpdateDate: 02/17/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WHITE
AuthorizedOfficialFirstName: NICOLE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: BILLING MANAGER
AuthorizedOfficialTelephone: 7407734366
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QP2300X  Y Ambulatory Health Care FacilitiesClinic/CenterPrimary Care

No ID Information.


Home