Provider Demographics
NPI:1013161215
Name:REGIONAL OCCUPATIONAL HEALTH CLINICS, LLC
Entity Type:Organization
Organization Name:REGIONAL OCCUPATIONAL HEALTH CLINICS, LLC
Other - Org Name:INNOVATIVE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-322-8977
Mailing Address - Street 1:2816 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-4264
Mailing Address - Country:US
Mailing Address - Phone:937-322-8977
Mailing Address - Fax:937-322-5837
Practice Address - Street 1:2816 W 1ST ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-4264
Practice Address - Country:US
Practice Address - Phone:937-322-8977
Practice Address - Fax:937-322-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty