MEDICARE: WHITEHALL FAMILY HEALTH CENTER

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1669610036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITEHALL FAMILY HEALTH CENTER

Provider Business Mailing Address
First Line	:	882 S HAMILTON RD
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-3003
Country	:	US
Telephone Number	:	614-546-4225
Fax Number	:	614-546-4243

Provider Business Practice Location Address
First Line	:	882 S HAMILTON RD
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-3003
Country	:	US
Telephone Number	:	614-546-4225
Fax Number	:	614-546-4246

Authorized Official
Title or Position	:	CEO
Name	:	MS. JOY C PARKER
Credential	:	RN, MBA
Telephone Number	:	614-546-4201

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	01/23/2009

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