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Organization
HOMETOWN ANCILLARY SERVICES LLC
Active
Organization
HOMETOWN ANCILLARY SERVICES LLC
Active
Other names
Hometown Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FIGLESTAHLER (DIR. OF CREDENTIALING AND CONTRACTI)
(614) 505-7633
Entity
Organization
Contact information
Practice address
1301 W 1ST ST, SPRINGFIELD, OH 45504-1920
(614) 505-7633
Mailing address
2400 CORPORATE EXCHANGE DR STE 102, COLUMBUS, OH 43231-7651
(614) 505-7633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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