| Ashtabula Community Health Center | |
|
5266 State Route 45 Rome OH 44085-9404 | |
| (440) 563-5028 | |
| (440) 563-3044 |
| Full Name | Ashtabula Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5266 State Route 45, Rome, Ohio |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashtabula Community Health Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Ashtabula Community Health Center 5266 State Route 45 Rome OH 44085-9404 Ph: (440) 563-5028 |
| NPI Number | 1699080911 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699080911 | NPI | - | NPPES |
| 3090177 | Medicaid | OH | |
| 1007578460106 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Primary Healthcare Of Ashtabula Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5266 State Route 45, Rome, OH 44085 Phone: 440-563-5028 | |
Primary Health Care Of Ashtabula, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5266 State Route 45, Rome, OH 44085 Phone: 440-563-5028 Fax: 440-563-3044 |