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Organization
OHIO INSTITUTE OF CARDIAC CARE, INC.
Active
Organization
OHIO INSTITUTE OF CARDIAC CARE, INC.
Active
Other names
OICC, Primary Care Network
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA D BRASSE (CREDENTIALING REPRESENTATIVE)
(937) 426-1518
Entity
Organization
Contact information
Practice address
1010 S LIMESTONE ST, SPRINGFIELD, OH 45505-3058
(937) 325-1010
(937) 325-5144
Mailing address
1010 S LIMESTONE ST, SPRINGFIELD, OH 45505-3058
(937) 325-1010
(937) 325-5144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382198
—
OH
Enumeration date
06/04/2007
Last updated
06/24/2009
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