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Organization

SCIOTO PAINT VALLEY MH CTR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBI NOLAN (FOLLOW UP SPECIALIST/CREDENTIALING)
(740) 772-7909
Entity
Organization

Contact information

Practice address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 775-1260
Mailing address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 775-1260

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2401332
OH
05
2921253
OH
Enumeration date
04/26/2012
Last updated
04/26/2023
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