Healthcare Provider Details

I. General information

NPI: 1659316644
Provider Name (Legal Business Name): GROVE CITY FAMILY HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6024 HOOVER ROAD SUITE A
GROVE CITY OH
43123-8131
US

IV. Provider business mailing address

6024 HOOVER ROAD SUITE A
GROVE CITY OH
43123-8131
US

V. Phone/Fax

Practice location:
  • Phone: 614-875-8949
  • Fax: 614-539-4610
Mailing address:
  • Phone: 614-875-8949
  • Fax: 614-539-4610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY L RUNSER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 614-875-8949