| Dmhd Family Practice, Inc. | |
|
1320 Belmont Ave Ste 2 Youngstown OH 44504-1130 | |
| (330) 746-0607 | |
| (330) 744-2101 |
| Full Name | Dmhd Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1320 Belmont Ave Ste 2, Youngstown, Ohio |
| Authorized Official Name and Position | David Michael Davis (CEO) |
| Authorized Official Contact | 3307460607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmhd Family Practice, Inc. 1320 Belmont Ave Ste 2 Youngstown OH 44504-1130 Ph: (330) 746-0607 | Dmhd Family Practice, Inc. 1320 Belmont Ave Ste 2 Youngstown OH 44504-1130 Ph: (330) 746-0607 |
| NPI Number | 1821284159 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Medicare PECOS PAC ID | 0446283378 |
|---|---|
| Medicare Enrollment ID | O20050913000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821284159 | NPI | - | NPPES |
| 2123580 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35075817 (Ohio) | Primary |
| Provider Name | David Michael Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982678272 PECOS PAC ID: 1355374281 Enrollment ID: I20120228000319 |
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