East Holmes Family Care Inc | |
103 East Main Street Baltic OH 43804 | |
(330) 897-4211 | |
(330) 897-2609 |
Full Name | East Holmes Family Care Inc |
---|---|
Speciality | Family Medicine |
Location | 103 East Main Street, Baltic, Ohio |
Authorized Official Name and Position | Robert Kim Kornhaus (TREASURER/PHYSICIAN) |
Authorized Official Contact | 3308933771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East Holmes Family Care Inc Po Box 366 Berlin OH 44610 Ph: (330) 897-4211 | East Holmes Family Care Inc 103 East Main Street Baltic OH 43804 Ph: (330) 897-4211 |
NPI Number | 1427171693 |
---|---|
Provider Enumeration Date | 04/10/2007 |
Last Update Date | 07/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427171693 | NPI | - | NPPES |
0851369 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |