Provider Demographics
NPI:1154927937
Name:BEDILION FAMILY MEDICINE
Entity type:Organization
Organization Name:BEDILION FAMILY MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:BEDILION
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:740-989-3097
Mailing Address - Street 1:3938 NEWBURY RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE HOCKING
Mailing Address - State:OH
Mailing Address - Zip Code:45742-5390
Mailing Address - Country:US
Mailing Address - Phone:304-615-0686
Mailing Address - Fax:
Practice Address - Street 1:3938 NEWBURY RD
Practice Address - Street 2:
Practice Address - City:LITTLE HOCKING
Practice Address - State:OH
Practice Address - Zip Code:45742-5390
Practice Address - Country:US
Practice Address - Phone:304-615-0686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1487170205OtherNPI