| Fairfield Community Health Center | |
|
1055 W Market St Suite H Baltimore OH 43105-1283 | |
| (740) 277-6043 | |
| Not Available |
| Full Name | Fairfield Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1055 W Market St, Baltimore, Ohio |
| Authorized Official Name and Position | Lisa Evangelista (CEO) |
| Authorized Official Contact | 7402776043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Community Health Center 220 E Walnut St Lancaster OH 43130-4464 Ph: (740) 277-6043 | Fairfield Community Health Center 1055 W Market St Suite H Baltimore OH 43105-1283 Ph: (740) 277-6043 |
| NPI Number | 1396024212 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 9133316805 |
|---|---|
| Medicare Enrollment ID | O20120424000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396024212 | NPI | - | NPPES |
| 0069122 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Baltimore Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 W Market St, Suite H, Baltimore, OH 43105 Phone: 740-862-4183 Fax: 740-862-3704 | |
Tarun Mehra Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1055 W Market St, Suite H, Baltimore, OH 43105 Phone: 614-235-2326 Fax: 614-235-5194 |