Organization
HOSPITALIST SERVICES MEDICAL GROUP OF SPRINGFIELD, INC.
Active
Other names
Hospitalist Services Medical Group of Springfield, Inc/Mercy Urbana
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W KOLODZIK MD (COO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
904 SCIOTO ST, URBANA, OH 43078-2226
(937) 653-5231
(937) 563-7551
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1430089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334883
ANTHEM
OH
05
—
2482639
—
OH
Enumeration date
09/23/2005
Last updated
04/20/2008
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