| Young Family Medicine, Inc. | |
|
430 4th Ave Ste 3 Sidney OH 45365-1100 | |
| (937) 492-7797 | |
| Not Available |
| Full Name | Young Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 430 4th Ave Ste 3, Sidney, Ohio |
| Authorized Official Name and Position | Mark Edward Young (OWNER) |
| Authorized Official Contact | 9374927797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Family Medicine, Inc. 430 4th Ave Ste 3 Sidney OH 45365-1100 Ph: (937) 492-7797 | Young Family Medicine, Inc. 430 4th Ave Ste 3 Sidney OH 45365-1100 Ph: (937) 492-7797 |
| NPI Number | 1467696435 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 3476603887 |
|---|---|
| Medicare Enrollment ID | O20090611000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467696435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35083349 (Ohio) | Primary |
| Provider Name | Mark Edward Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013010313 PECOS PAC ID: 5496653644 Enrollment ID: I20031223000889 |
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