Fairfield Community Health Center | |
216 Trace Dr Lancaster OH 43130-4151 | |
(740) 277-6043 | |
Not Available |
Full Name | Fairfield Community Health Center |
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Speciality | Clinic/Center |
Location | 216 Trace Dr, Lancaster, 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 216 Trace Dr Lancaster OH 43130-4151 Ph: (740) 277-6043 |
NPI Number | 1922301878 |
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Provider Enumeration Date | 12/15/2010 |
Last Update Date | 07/17/2023 |
Medicare PECOS PAC ID | 9133316805 |
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Medicare Enrollment ID | O20110310000291 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922301878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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