| Hicksville Family Health Center | |
|
208 Columbus St Hicksville OH 43526-1250 | |
| (419) 542-6692 | |
| Not Available |
| Full Name | Hicksville Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 Columbus St, Hicksville, Ohio |
| Authorized Official Name and Position | Janey Zachrich (CEO) |
| Authorized Official Contact | 4195425566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hicksville Family Health Center 208 Columbus St Hicksville OH 43526-1250 Ph: (419) 542-5566 | Hicksville Family Health Center 208 Columbus St Hicksville OH 43526-1250 Ph: (419) 542-6692 |
| NPI Number | 1164915021 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 0547258907 |
|---|---|
| Medicare Enrollment ID | O20160322001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164915021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 34009629 (Ohio) | Primary |
Mark, Milford, Hicksville Joint Township Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 Columbus Street, Hicksville, OH 43526 Phone: 419-542-6692 Fax: 419-542-6506 |