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Organization

HOPEWELL HEALTH CENTERS INC

Active
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Organization

HOPEWELL HEALTH CENTERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK A BRIDENBAUGH (CHIEF EXECUTIVE OFFICER)
(740) 773-4366
Entity
Organization

Contact information

Practice address
1049 WESTERN AVE, CHILLICOTHE, OH 45601-1104
(740) 773-4366
(740) 775-7855
Mailing address
1049 WESTERN AVE, CHILLICOTHE, OH 45601-1104
(740) 773-4366
(740) 775-7855

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0247343
OH
05
0836635
OH
Enumeration date
11/01/2005
Last updated
02/21/2014
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