Organization
PRIMARY CARE ASSOCIATES OF NEW LEBANON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS AL BINGHAM M.D. (PHYSICIAN)
(937) 687-1911
Entity
Organization
Contact information
Practice address
550 W MAIN ST, NEW LEBANON, OH 45345-9172
(937) 687-1911
(937) 687-1888
Mailing address
550 W MAIN ST, NEW LEBANON, OH 45345-9172
(937) 687-1911
(937) 687-1888
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35067795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284750
ANTHEM BLUE CROSS BLUE SH
OH
05
—
0317142
—
OH
Enumeration date
02/15/2007
Last updated
08/22/2020
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