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NPI Code Detail

MEDICARE: FAMILY HEALTH SERVICES OF DARKE COUNTY INC

MEDICARE: FAMILY HEALTH SERVICES OF DARKE COUNTY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366419293
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEALTH SERVICES OF DARKE COUNTY INC
Provider Business Mailing Address
First Line : 5735 MEEKER RD
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1180
Country : US
Telephone Number : 937-548-3806
Fax Number : 937-548-3552
Provider Business Practice Location Address
First Line : 5735 MEEKER RD
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1180
Country : US
Telephone Number : 937-548-3806
Fax Number : 937-548-3552
Authorized Official
Title or Position : ASSISTANT ADMINISTRATOR
Name : MS. JEAN E YOUNG
Credential :
Telephone Number : 937-548-3806
Provider Enumeration Date : 02/28/2006
Last Update Date : 11/03/2009

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1558330571 — DONALD W POHLMAN MD
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Directions to “FAMILY HEALTH SERVICES OF DARKE COUNTY INC ” Practice Location

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