Organization
THE COMMUNITY HOSPITAL MAMMOGRAPHY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. WIENER (PRESIDENT & CEO)
(937) 328-9515
Entity
Organization
Contact information
Practice address
346 S BURNETT RD, SPRINGFIELD, OH 45505-2604
(937) 328-9783
Mailing address
346 S BURNETT RD, SPRINGFIELD, OH 45505-2604
(937) 328-9783
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8348569
—
OH
Enumeration date
04/27/2006
Last updated
06/08/2010
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