HOLZER CLINIC LLC NPI 1508817248

NPI Information

NPI: 1508817248
Provider Name: HOLZER CLINIC, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
100 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-5385
Get Directions

HOLZER CLINIC, LLC is a multi-specialty clinic center in Gallipolis, OH. HOLZER CLINIC, LLC NPI is 1508817248. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631-560
Phone: (740) 446-5385
Fax: (740) 446-5310

The provider's authorized official is Michael R. Canady .
The authorized official title is Ceo and has the following contact phone number (740) 446-5051.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 11/2/2018.

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	Primary
1	246RM2200X	Technician, Pathology	Medical Laboratory	No
2	152WV0400X	Optometrist	Vision Therapy	No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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
1	0006817002	MEDICAID	WEST VIRGINIA
2	4046428	MEDICAID	OHIO

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

NPI Synchronization or Removal

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