Provider Demographics
NPI:1326147091
Name:OSLER MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:OSLER MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BEERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-393-6633
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:219 WEST MAIN STREET
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-0037
Mailing Address - Country:US
Mailing Address - Phone:937-393-6633
Mailing Address - Fax:937-393-8588
Practice Address - Street 1:219 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-1349
Practice Address - Country:US
Practice Address - Phone:937-393-6633
Practice Address - Fax:937-393-8588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOS9312071Medicare ID - Type UnspecifiedGROUP MEDICARE PROVIDER N