| Community Family Care Inc | |
|
2217 Wisteria Way Avon OH 44011-2614 | |
| (440) 934-7080 | |
| (440) 934-0810 |
| Full Name | Community Family Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2217 Wisteria Way, Avon, Ohio |
| Authorized Official Name and Position | Mohammed Jayber (OWNER) |
| Authorized Official Contact | 4409347080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Care Inc Po Box 1966 Elyria OH 44036-1966 Ph: (440) 366-5600 | Community Family Care Inc 2217 Wisteria Way Avon OH 44011-2614 Ph: (440) 934-7080 |
| NPI Number | 1730374687 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 4789709296 |
|---|---|
| Medicare Enrollment ID | O20100921000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730374687 | NPI | - | NPPES |
| 080190847 | Other | OH | PALMETTO GBA RETIRED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammed A Jayber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215914759 PECOS PAC ID: 5698890101 Enrollment ID: I20100921000112 |
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