| Fairborn Family Practice | |
|
1145 Channingway Dr Fairborn OH 45324-9244 | |
| (937) 878-8644 | |
| (937) 878-8646 |
| Full Name | Fairborn Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1145 Channingway Dr, Fairborn, Ohio |
| Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9375583222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairborn Family Practice 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Fairborn Family Practice 1145 Channingway Dr Fairborn OH 45324-9244 Ph: (937) 878-8644 |
| NPI Number | 1063798395 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063798395 | NPI | - | NPPES |
| 2639630 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Intecare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-874-5766 Fax: 937-874-5774 | |
Ohio Valley Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324 Phone: 937-340-6440 Fax: 937-340-6441 | |
Dan F Bautista Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1840 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-754-4580 Fax: 937-754-4575 | |
Digestive Specialists Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324 Phone: 937-293-4424 Fax: 937-395-3682 | |
Manoj R Desai, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 W Xenia Dr, Fairborn, OH 45324 Phone: 937-878-4531 Fax: 937-878-4070 | |
Fairborn Family Practice Assoc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 E Xenia Drive, Suite 600, Fairborn, OH 45324 Phone: 937-878-8644 Fax: 937-878-8646 |