Sidney Medical Group Inc

LBN: Sidney Medical Group Inc
Sidney Medical Group Inc is an health care organization with primary practice located at 322 Second Avenue , Sidney OH 45365. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sidney Medical Group Inc can be contacted via phone (937) 492-9128, or through Miller, Robert J via phone (937) 492-9128.

Contact Information

Primary practice address
322 Second Avenue Sidney OH 45365
Phone: (937) 492-9128
Fax: (937) 497-0820
Website:
Map and Directions
Authorized official contact:
Name: Miller, Robert J Doctor of Medicine (MD)
Phone: (937) 492-9128

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1164523882
LBN Legal business name Sidney Medical Group Inc
DBA Doing business as
Authorized official Miller, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164523882 NPPES
Ohio MEDICAID 0305539
Ohio MEDICAID 2435930
Ohio MEDICAID 0905784

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