Basic Information
Provider Information
NPI: 1740821982
EntityType: 2
ReplacementNPI:  
OrganizationName: OHIO HILLS HEALTH SERVICES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: OHIO HILLS HEALTH CENTER CALDWELL
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 E MAIN ST
Address2:  
City: BARNESVILLE
State: OH
PostalCode: 437131005
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 44069 MARIETTA RD
Address2:  
City: CALDWELL
State: OH
PostalCode: 437249124
CountryCode: US
TelephoneNumber: 7402396447
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/30/2019
LastUpdateDate: 11/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BRITTON
AuthorizedOfficialFirstName: JEFFREY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 7402396447
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/03/2021

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

No ID Information.


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