| Family Medical Care Center | |
|
9164 Ruby Ridge St Nw Canal Fulton OH 44614-8795 | |
| (330) 854-1892 | |
| (330) 776-5557 |
| Full Name | Family Medical Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 9164 Ruby Ridge St Nw, Canal Fulton, Ohio |
| Authorized Official Name and Position | Kenneth J Biros (OWNER/PRESIDENT) |
| Authorized Official Contact | 3308541892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Center 9164 Ruby Ridge St Nw Canal Fulton OH 44614-8795 Ph: (330) 854-1892 | Family Medical Care Center 9164 Ruby Ridge St Nw Canal Fulton OH 44614-8795 Ph: (330) 854-1892 |
| NPI Number | 1023118932 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4789580770 |
|---|---|
| Medicare Enrollment ID | O20031210000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023118932 | NPI | - | NPPES |
| 0707417 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34003948 (Ohio) | Primary |
| Provider Name | Kenneth J Biros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407819600 PECOS PAC ID: 5991602575 Enrollment ID: I20031219000022 |
Community Health Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 944 Cherry St E, Canal Fulton, OH 44614 Phone: 330-854-4574 Fax: 330-854-0829 |