| Silver Family Care Center Llc | |
|
2336 Mack Rd Unit B Fairfield OH 45014-3169 | |
| (513) 322-2098 | |
| (513) 855-2021 |
| Full Name | Silver Family Care Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2336 Mack Rd Unit B, Fairfield, Ohio |
| Authorized Official Name and Position | Chantia Gaines (NURSE PRACTITIONER) |
| Authorized Official Contact | 5134322899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Family Care Center Llc 2336 Mack Rd Unit B Fairfield OH 45014 Ph: (513) 322-2098 | Silver Family Care Center Llc 2336 Mack Rd Unit B Fairfield OH 45014-3169 Ph: (513) 322-2098 |
| NPI Number | 1912542432 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 1153757737 |
|---|---|
| Medicare Enrollment ID | O20200129002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912542432 | NPI | - | NPPES |
| 0151853 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Chantia Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790156875 PECOS PAC ID: 9739476516 Enrollment ID: I20160921002508 |
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