Healthcare Provider Details

I. General information

NPI: 1326089129
Provider Name (Legal Business Name): OHIO HILLS HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E MAIN ST
BARNESVILLE OH
43713-1005
US

IV. Provider business mailing address

101 E MAIN ST
BARNESVILLE OH
43713-1005
US

V. Phone/Fax

Practice location:
  • Phone: 740-425-5165
  • Fax:
Mailing address:
  • Phone: 740-425-5165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY BRITTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 740-239-6447