East Holmes Family Care Inc | |
2040 Tr 661 Dundee OH 44624 | |
(330) 359-5989 | |
(330) 359-3590 |
Full Name | East Holmes Family Care Inc |
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Speciality | Family Medicine |
Location | 2040 Tr 661, Dundee, 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 |
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East Holmes Family Care Inc Po Box 366 Berlin OH 44610 Ph: (330) 359-5989 | East Holmes Family Care Inc 2040 Tr 661 Dundee OH 44624 Ph: (330) 359-5989 |
NPI Number | 1790808970 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 07/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790808970 | NPI | - | NPPES |
0851369 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |