| First Care Family Medical | |
|
1911 N Fairfield Rd Suite 110 Beavercreek OH 45432-2762 | |
| (937) 429-1369 | |
| (937) 429-4575 |
| Full Name | First Care Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1911 N Fairfield Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Care Family Medical 1911 N Fairfield Rd Suite 110 Beavercreek OH 45432-2762 Ph: (937) 429-1369 | First Care Family Medical 1911 N Fairfield Rd Suite 110 Beavercreek OH 45432-2762 Ph: (937) 429-1369 |
| NPI Number | 1205138872 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205138872 | NPI | - | NPPES |
| 3139179 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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