| Fairfield Primary Care, Inc. | |
|
2740 Mack Rd Fairfield OH 45014-5161 | |
| (513) 860-3016 | |
| (513) 860-3073 |
| Full Name | Fairfield Primary Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2740 Mack Rd, Fairfield, Ohio |
| Authorized Official Name and Position | Karin E. Sulek (OFFICE COORDINATOR) |
| Authorized Official Contact | 5138603016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Primary Care, Inc. 2740 Mack Rd Fairfield OH 45014-5161 Ph: (513) 860-3016 | Fairfield Primary Care, Inc. 2740 Mack Rd Fairfield OH 45014-5161 Ph: (513) 860-3016 |
| NPI Number | 1427182294 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427182294 | NPI | - | NPPES |
| CC4626 | Other | OH | MEDICARE RAILROAD |
| FA9258621 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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