Healthcare Provider Details
I. General information
NPI: 1063575280
Provider Name (Legal Business Name): FAMILY HEALTH CONNECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2006
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2365 LAKEVIEW DR STE C
BEAVERCREEK OH
45431-3639
US
IV. Provider business mailing address
2365 LAKEVIEW DR STE C
BEAVERCREEK OH
45431-3639
US
V. Phone/Fax
- Phone: 937-427-7540
- Fax: 937-427-7810
- Phone: 937-427-7540
- Fax: 937-427-7810
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | 35041889J |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
ARTHUR
PATRICK
JONAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-427-7540