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BEAVERCREEK FAMILY CARE ASSOCIATES LTD NPI 1093709826


NPI Information

NPI: 1093709826
Provider Name: BEAVERCREEK FAMILY CARE ASSOCIATES LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0349992

Address:
2510 COMMONS BLVD
SUITE #275
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 431-3700
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BEAVERCREEK FAMILY CARE ASSOCIATES LTD is a family medicine in Beavercreek, OH. The provider is 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 is not limited by age, sex, organ system, or disease entity. BEAVERCREEK FAMILY CARE ASSOCIATES LTD NPI is 1093709826. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2510 COMMONS BLVD
SUITE #275
BEAVERCREEK, OH
ZIP 45431-820
Phone: (937) 431-3700
Fax: (937) 431-3705

The provider's authorized official is Donna L Whitmer .
The authorized official title is Practice Manager and has the following contact phone number (937) 431-3700.

The CLIA number assigned to this NPI record is 36D0349992 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 2/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A15336MEDICARE UPINOHIO
20528263MEDICAIDOHIO
3WH0528084MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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