Health Professionals of Holmes County, Inc.
Organization Active NPI Family Medicine Physician · Millersburg, OH
NPI 1922489780 · NPPES record last updated Jun 17, 2015
Key facts
- NPI
- 1922489780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HEALTH PROFESSIONALS OF HOLMES COUNTY, INC.
- Practice address
- 931 Wooster Rd
Millersburg, OH 44654-1536 - Phone
- (330) 674-8444
- Fax
- (330) 674-5065
- NPI assigned
- Jun 17, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTH PROFESSIONALS OF HOLMES COUNTY, INC.
Authorized official
- Name
- Jason Justus
- Title
- Chief Financial Officer
- Phone
- (330) 674-1015
Other NPIs on the same Medicare enrollment 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070702000432 | OH | Part B Supplier - Clinic/Group Practice | 6002916194 |
Receives reassigned benefits from 94 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Berlin, OH; Sugarcreek, OH; Millersburg, OH; Loudonville, OH; Dover, OH |
National Provider Directory
- Part of
- Health Professionals of Holmes County Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
931 Wooster Rd
Millersburg, OH 44654-1536
Mailing address
1261 Wooster Rd
Suite 200
Millersburg, OH 44654-1568
Phone (330) 674-3333
Other names
- Pomerene Family Care
Other providers in Millersburg, OH
- Health Professionals of Holmes County, Inc
- Health Professionals of Holmes County, Inc
- Health Professionals of Holmes County, Inc
- Health Professionals of Holmes County, Inc
- Health Professionals of Holmes County, Inc.
- Health Professionals of Holmest County, Inc.
- Clyde O Hensel Jr.
- Ralph N Hensel
- Kristi Herman
- Kimberly D Hills
All providers in Millersburg, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.