SOUTH COMMUNITY PRIMARY CARE INC – NPI #1326334624
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SOUTH COMMUNITY PRIMARY CARE INC is a provider located in MORAINE, OH. NPPES has assigned the NPI number 1326334624 to SOUTH COMMUNITY PRIMARY CARE INC on June 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Apr 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH COMMUNITY PRIMARY CARE INC below.

NPI Profile for
SOUTH COMMUNITY PRIMARY CARE INC

NPI Number
1326334624
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH COMMUNITY PRIMARY CARE INC
Primary location
3095 KETTERING BLVD
MORAINE, OH 45439
Phone: (937) 531-1974 Fax: (937) 534-1579
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROL SMERZ
CEO
Phone: (937) 293-8300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.