| East Holmes Family Care Inc | |
|
4907a Dalbey Ln Berlin OH 44610 | |
| (330) 893-3771 | |
| (330) 893-3770 |
| Full Name | East Holmes Family Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4907a Dalbey Ln, Berlin, Ohio |
| Authorized Official Name and Position | Robert Kim Kornhaus (PHYSICIAN) |
| Authorized Official Contact | 3308933771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Holmes Family Care Inc Po Box 366 Berlin OH 44610 Ph: (330) 893-3771 | East Holmes Family Care Inc 4907a Dalbey Ln Berlin OH 44610 Ph: (330) 893-3771 |
| NPI Number | 1164411765 |
|---|---|
| Provider Enumeration Date | 10/17/2005 |
| Last Update Date | 07/01/2014 |
| Medicare PECOS PAC ID | 4587642947 |
|---|---|
| Medicare Enrollment ID | O20040712000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164411765 | NPI | - | NPPES |
| 0851369 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Kim Kornhaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376524892 PECOS PAC ID: 3779561147 Enrollment ID: I20041202000633 |
| Provider Name | Zachary T Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144531948 PECOS PAC ID: 5395988828 Enrollment ID: I20130830000316 |
| Provider Name | Whitney Hofstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689115784 PECOS PAC ID: 7315214749 Enrollment ID: I20170606001575 |
| Provider Name | Dawn R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174247399 PECOS PAC ID: 0749650331 Enrollment ID: I20221222001422 |
Pomerene Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Oak Street, Berlin, OH 44610 Phone: 330-893-2754 Fax: 330-893-1485 | |
Pomerene Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Oak Street, Berlin, OH 44610 Phone: 330-893-2754 | |
Health Professionals Of Holmes County, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Oak Street, Berlin, OH 44610 Phone: 330-893-1318 |