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Organization

GIRARD CITY HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES J. ENYEART MD (MEDICAL DIRECTOR)
(330) 545-6048
Entity
Organization

Contact information

Practice address
100 W MAIN ST, GIRARD, OH 44420-2598
(330) 545-6048
(330) 539-7209
Mailing address
100 W MAIN ST, GIRARD, OH 44420-2598
(330) 545-6048
(330) 539-7209

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0364225
BCMH
OH
05
0872766
OH
01
NON-PAR OH/CMSRATE
ANTHEM SENIOR ADVANTAGE
OH
Enumeration date
09/28/2007
Last updated
09/28/2007
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