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Longfellow, Inc.
Health Service Clinic/Center in Mount Vernon, Ohio
NPI 1477731727

Longfellow, Inc. is a Health Service Clinic/Center based in Mount Vernon, OH and is specialized in Health Service. Longfellow, Inc. practices in Mount Vernon, OH. The NPI Number for Longfellow, Inc. is 1477731727 and holds a License No. 1575 (Ohio).

The current practice location address for Longfellow, Inc. is 306 E High St, Mount Vernon, OH and can be reached out via phone at 740-392-4878 and via fax at 740-392-6894.

Location: 306 E High St, Mount Vernon, OH, 43050-3420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477731727
Provider Name
Longfellow, Inc.
Credential
Provider Entity Type
Organization
Address
306 E High St, Mount Vernon, OH, 43050-3420
Phone Number
740-392-4878
Fax Number
740-392-6894
Provider Enumeration Date
02/07/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000503889 01 OH ANTHEM PROVIDER #
1912935859 01 OH RENDERING PROVIDER'S NPI #
2719133 05 OH
institution
Provider Business Practice Location Address Details
Address
306 E High St
City
Mount Vernon
State
Ohio
Zip
43050-3420
Phone Number
740-392-4878
Fax Number
740-392-6894
person
Provider Business Mailing Address Details
Address
306 E High St
City
Mount Vernon
State
Ohio
Zip
43050-3420
Phone Number
740-392-4878
Fax Number
740-392-6894
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1575 (Ohio)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
1575 (Ohio)
Definition
Definition to come...
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