FAIRFIELD COMMINITY HEALTH CENTER


Address: 1055 W Market St, Suite H, Baltimore, OH 43105-1283
Phone: 7408624183

FAIRFIELD COMMINITY HEALTH CENTER (NPI# 1396024212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396024212
Entity Type Organization
Organization Name FAIRFIELD COMMINITY HEALTH CENTER
Practice Address 1055 W Market St
Suite H
Baltimore
OH 43105-1283
Mailing Address 207 S Broad St
Lancaster
OH 43130-4307
Practice Telephone 7408624183
Mailing Telephone 7402776043
Mailing Fax Number 7408088194
Enumeration Date 2011-08-09
Last Update Date 2019-03-29
Authorized Official Name LISA EVANGELISTA (CEO)
Authorized Official Telephone 7402776043
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 0069122 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154714400 Fairfield Comminity Health Center Clinic/Center 1155 E Main St, Lancaster, OH 43130-4056 2015-03-11
1689079782 Fairfield Comminity Health Center Clinic/Center 1500 E Main St, Lancaster, OH 43130-3478 2014-10-31
1609165307 Fairfield Comminity Health Center Clinic/Center 123 E Main St, Amanda, OH 43102-0307 2011-04-04
1104129055 Fairfield Comminity Health Center Public Health or Welfare 216 Trace Dr, Lancaster, OH 43130-4151 2010-12-15

Office Location

Street Address 1055 W MARKET ST
SUITE H
City BALTIMORE
State OH
Zip Code 43105-1283

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659374700 Tarun Mehra Internal Medicine 1055 W Market St, Ste H, Baltimore, OH 43105-1283 2005-05-23
1386824225 Tarun Mehra Md Inc Internal Medicine 1055 W Market St, Suite H, Baltimore, OH 43105-1283 2007-11-08
1174579791 Fairfield Healthcare Professionals, Inc. Family Medicine 1055 W Market St, Suite H, Baltimore, OH 43105-1283 2006-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477798726 Liberty Union Thurston Schools Local Education Agency (LEA) 1108 South Main Street, Baltimore, OH 43105 2008-12-15
1194973222 Rem Ohio,inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 370 Bickel Church Road, Baltimore, OH 43105 2008-09-03
1215058961 Jeffrey Alan Harris Technician/Technologist 220 N Basil St, Baltimore, OH 43105-1004 2007-04-02
1306017314 Patrick L Rankin Dds & Assoc LLC Dentist 1317 W Market St, Baltimore, OH 43105-1044 2008-03-18
1629046354 Patrick L Rankin Dentist 1317 W Market St, Baltimore, OH 43105-1044 2006-03-09
1932745221 Melissa Suzanne Massey-smith Licensed Practical Nurse 1120 W Washington St, Baltimore, OH 43105-1158 2019-11-21
1265699763 Basil Joint Fire District Ambulance 410 W Washington St, Baltimore, OH 43105-1192 2008-05-21
1891318242 Amy R Hargett Pharmacist 114 N Main St, Baltimore, OH 43105-1210 2020-05-20
1609889575 Medicine Shoppe 2000 LLC Pharmacy 114 N Main St, Baltimore, OH 43105-1210 2006-08-14
1821646092 Aaron Murfin Nurse Practitioner 1055 W Market St Ste H, Baltimore, OH 43105-1284 2019-08-29
Find all providers in zip 43105

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699292110 Baltimore Medical System Inc Clinic/Center 3701 Eldorado Avenue, Baltimore, MD 21207-7658 2017-08-25
1083087878 Mergenthaler Vocational-technical High School Clinic/Center 3500 Hillen Rd, Baltimore, MD 21218-2227 2015-11-03
1952778573 Vanguard Collegiate Middle School Clinic/Center 5000 Truesdale Rd, Baltimore, MD 21206-6145 2015-08-31
1881087336 Total Health Care Inc Clinic/Center 200 E 33rd St Ste 265, Baltimore, MD 21218-3377 2015-03-09
1346664562 Patterson High School Clinic/Center 100 Kane Street, Baltimore, MD 21224 2014-02-07
1265856488 Paul Laurence Dunbar High School Clinic/Center 1400 Orleans Street, Baltimore, MD 21231 2014-02-07
1619248515 Baltimore Medical System, Inc. Clinic/Center 600 N Patterson Park Ave, Baltimore, MD 21205-2447 2012-01-24
1942501150 Baltimore Medical System, Inc Clinic/Center 1101 N Wolfe St, Baltimore, MD 21213-3310 2010-11-04
1346540606 Total Health Care, Inc. Clinic/Center 827 Linden Boulevard, Baltimore, MD 21202 2010-11-02
1437380581 Baltimore Medical System, Inc. Clinic/Center 1409 N Collington Ave, Baltimore, MD 21213-3418 2009-08-06
Find all providers in BALTIMORE

Competitor

Search similar providers

City BALTIMORE
Zip Code 43105

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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