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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0069122 | 05 |
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 |
Street Address |
1055 W MARKET ST SUITE H |
City | BALTIMORE |
State | OH |
Zip Code | 43105-1283 |
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 |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
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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.