| Mann Family Care Ltd | |
|
805 East Pike Street Jackson Center OH 45334-0626 | |
| (937) 596-0456 | |
| (937) 596-0462 |
| Full Name | Mann Family Care Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 805 East Pike Street, Jackson Center, Ohio |
| Authorized Official Name and Position | Cheryl Mann (OWNER) |
| Authorized Official Contact | 9375960456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mann Family Care Ltd 805 East Pike Street Jackson Center OH 45334-0626 Ph: (937) 596-0456 | Mann Family Care Ltd 805 East Pike Street Jackson Center OH 45334-0626 Ph: (937) 596-0456 |
| NPI Number | 1225182256 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225182256 | NPI | - | NPPES |
| 2020306 | Medicaid | OH | |
| 0005170529 | Other | OH | AETNA |
| 000000233110 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35069861 (Ohio) | Primary |
Mary Rutan Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Pike St, Jackson Center, OH 45334 Phone: 937-596-0456 Fax: 937-593-0462 |