Organization
MADISON FAMILY HEALTH CORPORATION
Active
Parent organization
MADISON FAMILY HEALTH CORPORATION DBA MADISON HEALTH SPECIALTY CARE
Other names
Madsion Health Specialty Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON FAMILY HEALTH CORPORATION DBA MADISON HEALTH SPECIALTY CARE
Authorized official
MICHAEL S. BROWNING (CFO)
(740) 845-7015
Entity
Organization
Contact information
Practice address
210 NORTH MAIN STREET, LONDON, OH 43140-1115
(740) 845-7518
(740) 845-7045
Mailing address
P.O. BOX 638816, CINCINNATI, OH 45263-8816
(614) 293-2100
(614) 293-3606
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
207Q00000X
Family Medicine Physician
—
OH
207RX0202X
Medical Oncology Physician
Primary
—
OH
2084N0400X
Neurology Physician
—
OH
208600000X
Surgery Physician
—
OH
208800000X
Urology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2807421
—
OH
Enumeration date
05/03/2007
Last updated
12/21/2016
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