Goble Oneal Hammonds
Individual provider Active NPI Case Manager/Care Coordinator · MC Dermott, OH
NPI 1992480883 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1992480883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 6431 State Route 104
MC Dermott, OH 45652-8943 - Phone
- (740) 876-8627
- NPI assigned
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Ohio Premier Recovery, LLC | Current |
Accepting new patients | |
| Southern Ohio Premier Recovery, LLC | Current |
Accepting new patients |
Locations
6587 State Route 104
Mc Dermott, OH 45652
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | Yes |
Addresses
Primary practice location
6431 State Route 104
MC Dermott, OH 45652-8943
Mailing address
6587 State Route 104
MC Dermott, OH 45652-8943
Phone (740) 981-6987
Other providers in MC Dermott, OH
- Beth Groves
- Delores Hall
- Nicholas L Hall
- Keith Allen Hamilton
- Jessica Hamm
- Jeremy Hanson
- James Harding
- Jessica Rose Hoffer
- Benjamin Kelly
- Courtney Page Knisley
All providers in MC Dermott, OH · Case Manager/Care Coordinator 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 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.