| Bryan Community Health Center | |
|
228 S Main St Bryan OH 43506-1755 | |
| (419) 785-3827 | |
| (419) 549-5670 |
| Full Name | Bryan Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 228 S Main St, Bryan, Ohio |
| Authorized Official Name and Position | Janis L. Sunderhaus (CEO) |
| Authorized Official Contact | 4192213072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Community Health Center 329 N West St Lima OH 45801-4332 Ph: (419) 221-3072 | Bryan Community Health Center 228 S Main St Bryan OH 43506-1755 Ph: (419) 785-3827 |
| NPI Number | 1790020733 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 9436139987 |
|---|---|
| Medicare Enrollment ID | O20130125000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790020733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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