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Organization
YELLOW SPRINGS PRIMARY CARE, INC
Active
Organization
YELLOW SPRINGS PRIMARY CARE, INC
Active
Parent organization
YELLOW SPRINGS PRIMARY CARE INC
Other names
Yellow Springs Primary Care Rural Health Clinic, Yellow Springs Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
YELLOW SPRINGS PRIMARY CARE INC
Authorized official
DONALD ALEXANDER GRONBECK MD (OWNER)
(937) 767-1088
Entity
Organization
Contact information
Practice address
888 DAYTON ST UNIT 106, YELLOW SPRINGS, OH 45387-1778
(937) 767-1088
(937) 767-1022
Mailing address
888 DAYTON ST UNIT 106, YELLOW SPRINGS, OH 45387-1778
(937) 767-1088
(937) 767-1022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363873
CCN
OH
Enumeration date
04/11/2019
Last updated
02/02/2021
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