Organization
ADENA HEALTH SYSTEM
Active
Other names
First Capital Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH T COLEMAN (CFO)
(740) 779-7582
Entity
Organization
Contact information
Practice address
4437 STATE ROUTE 159, SUITE 115, CHILLICOTHE, OH 45601-7065
(740) 775-2652
(740) 775-2699
Mailing address
272 HOSPITAL RD, SUITE 3, CHILLICOTHE, OH 45601-9031
(740) 779-8234
(740) 779-7477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475685
—
OH
Enumeration date
04/02/2008
Last updated
04/23/2008
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