Family Health Care Of Northwest Ohio, Inc | |
1191 Westwood Dr Van Wert OH 45891-2464 | |
(419) 268-6747 | |
(419) 238-3721 |
Full Name | Family Health Care Of Northwest Ohio, Inc |
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Speciality | Clinic/Center |
Location | 1191 Westwood Dr, Van Wert, Ohio |
Authorized Official Name and Position | Jennifer L Smith (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4192386747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Care Of Northwest Ohio, Inc 1191 Westwood Dr Van Wert OH 45891-2464 Ph: (419) 238-6747 | Family Health Care Of Northwest Ohio, Inc 1191 Westwood Dr Van Wert OH 45891-2464 Ph: (419) 268-6747 |
NPI Number | 1568646560 |
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Provider Enumeration Date | 12/27/2007 |
Last Update Date | 02/22/2022 |
Certification Date | 02/22/2022 |
Medicare PECOS PAC ID | 1456332188 |
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Medicare Enrollment ID | O20080115000801 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568646560 | NPI | - | NPPES |
2789344 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | E.1300033 (Ohio) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Alan C Gatz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588640825 PECOS PAC ID: 4587558762 Enrollment ID: I20040210000040 |
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