Healthcare Provider Details

I. General information

NPI: 1679300982
Provider Name (Legal Business Name): FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10484 KLEY RD
VERSAILLES OH
45380-9561
US

IV. Provider business mailing address

5735 MEEKER RD
GREENVILLE OH
45331-1180
US

V. Phone/Fax

Practice location:
  • Phone: 937-526-3016
  • Fax:
Mailing address:
  • Phone: 937-548-2953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JARED POLLICK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 937-548-3806