| Five Points Primary Care | |
|
200 Park Ave W Mansfield OH 44902-1608 | |
| (419) 522-2239 | |
| (419) 525-6723 |
| Full Name | Five Points Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Park Ave W, Mansfield, Ohio |
| Authorized Official Name and Position | Peggy Anderson (CEO) |
| Authorized Official Contact | 4195267880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Points Primary Care 1404 Park Ave W Ste 2 Mansfield OH 44906-2633 Ph: (419) 522-6191 | Five Points Primary Care 200 Park Ave W Mansfield OH 44902-1608 Ph: (419) 522-2239 |
| NPI Number | 1972053452 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2365423977 |
|---|---|
| Medicare Enrollment ID | O20161102000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972053452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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