Organization
HEALTHRIDGE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI LYNN MILLER (PRACTICE ADMINISTRATOR)
(330) 750-1333
Entity
Organization
Contact information
Practice address
315 STRUTHERS LIBERTY RD, CAMPBELL, OH 44405-1949
(330) 750-1333
(330) 750-0203
Mailing address
315 STRUTHERS LIBERTY RD, CAMPBELL, OH 44405-1949
(330) 750-1333
(330) 750-0203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
04/04/2006
Last updated
12/09/2009
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