| Dba Shawnee Family Health Center | |
|
225 Carlton Davidson Ln Coal Grove OH 45638-2924 | |
| (740) 533-6280 | |
| (740) 353-1662 |
| Full Name | Dba Shawnee Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Carlton Davidson Ln, Coal Grove, Ohio |
| Authorized Official Name and Position | Cynthia Holstein (CEO) |
| Authorized Official Contact | 7403558686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Shawnee Family Health Center 901 Washington St Portsmouth OH 45662-3944 Ph: (740) 355-8686 | Dba Shawnee Family Health Center 225 Carlton Davidson Ln Coal Grove OH 45638-2924 Ph: (740) 533-6280 |
| NPI Number | 1225508195 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 05/09/2022 |
| Medicare PECOS PAC ID | 7012902075 |
|---|---|
| Medicare Enrollment ID | O20190214000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225508195 | NPI | - | NPPES |
| 0339264 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Shawnee Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Lane St, Coal Grove, OH 45638 Phone: 740-533-6206 Fax: 740-533-6284 | |
Advanced Family Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Marion Pike, Coal Grove, OH 45638 Phone: 740-532-5944 | |
Kemp Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Carlton Davidson Ln, Coal Grove, OH 45638 Phone: 740-532-3048 Fax: 740-532-4777 | |
Kemp Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Carlton Davidson Ln, Coal Grove, OH 45638 Phone: 740-532-3048 Fax: 740-532-0319 |