| Antwerp Family Health Center | |
|
107 Buffalo St Antwerp OH 45813-8434 | |
| (419) 542-5495 | |
| Not Available |
| Full Name | Antwerp Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Buffalo St, Antwerp, Ohio |
| Authorized Official Name and Position | Janey Zachrich (CEO) |
| Authorized Official Contact | 4195425566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antwerp Family Health Center 208 Columbus St Hicksville OH 43526-1299 Ph: (419) 542-5566 | Antwerp Family Health Center 107 Buffalo St Antwerp OH 45813-8434 Ph: (419) 542-5495 |
| NPI Number | 1780150110 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 0547258907 |
|---|---|
| Medicare Enrollment ID | O20190130000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780150110 | NPI | - | NPPES |
| 3613011 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Practice Associates Of Antwerp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 W River St, Antwerp, OH 45813 Phone: 419-258-5195 Fax: 419-258-2620 | |
Antwerp Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 422 W River St, Antwerp, OH 45813 Phone: 419-258-2620 |