FCHC MEDICAL CARE, LLC (NPI# 1548449812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548449812 |
| Entity Type | Organization |
| Organization Name | FCHC MEDICAL CARE, LLC |
| Other Organization Name | DBA FAYETTE MEDICAL CENTER |
| Practice Address |
124 West Main Street Fayette OH 43521 |
| Practice Telephone | 4192372501 |
| Practice Fax Number | 4192372671 |
| Mailing Telephone | 4192372501 |
| Mailing Fax Number | 4192372671 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | PATRICIA FINN (CEO) |
| Authorized Official Telephone | 4193352015 |
| Is Organization Subpart | Y |
| Parent Organization Name | FULTON MEDICAL CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OH35082608 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2707324 | 05 | |
| OH | ANTHEM BCBS | 000000500867 | 01 |
| Other Name | Type Code |
|---|---|
| dba Fayette Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679900039 | Fchc Medical Care, LLC | Pediatrics | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2013-10-01 |
| 1215115589 | Fchc Medical Care, LLC | Clinic/Center | 240 W Main St, Morenci, MI 49256-1455 | 2008-02-08 |
| 1609056985 | Fchc Medical Care, LLC | General Practice | 6696 Us Highway 20a, Delta, OH 43515-9799 | 2007-11-05 |
| 1093994360 | Fchc Medical Care, LLC | Obstetrics & Gynecology | 735 S Shoop Ave, Wauseon, OH 43567-1735 | 2007-11-02 |
| 1598821175 | Fchc Medical Care, LLC | Emergency Medical Technician, Intermediate | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2006-12-28 |
| Street Address |
124 WEST MAIN STREET |
| City | FAYETTE |
| State | OH |
| Zip Code | 43521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164858999 | Paula Anne Bird | Massage Therapist | 11916 County Road 20, Fayette, OH 43521 | 2013-09-25 |
| 1659589901 | Teresa Len Felix | Home Health Aide | 400 N. Park St. Lot 6, Fayette, OH 43521 | 2007-05-18 |
| 1972563104 | Jennifer A Schweitzer-ahmed | Family Medicine | 124 W Main St, Fayette, OH 43521 | 2006-03-23 |
| 1922022698 | Open Access Mri, LLC | Clinic/Center | 109 S Fayette St, Fayette, OH 43521-9411 | 2006-07-27 |
| 1144461484 | Fayette Local School District | Local Education Agency (LEA) | 400 E Gamble Rd, Fayette, OH 43521-9462 | 2009-03-17 |
| 1275048605 | Kylee A Vasquez | Peer Specialist | 25212 Us Highway 20, Fayette, OH 43521-9511 | 2017-12-07 |
| 1932166220 | Five County Alcohol/drug Program Serenity Haven | Case Management | 25212 Us Route 20, Fayette, OH 43521-9511 | 2006-04-28 |
| 1790294619 | Sondra L Metts | Counselor | 11804 County Road 21, Fayette, OH 43521-9756 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
| 1801416599 | Ashlee Dougherty | Student in an Organized Health Care Education/Training Program | 1141 County Road 201, Fayette, MO 65248-9271 | 2020-04-22 |
| 1063047496 | Angela Short | Social Worker | 240 Mcnair Rd, Fayette, MS 39069-5540 | 2020-03-05 |
| 1912531427 | Magnolia Personal Care LLC | Respite Care | 69 Bo Stampley Rd, Fayette, MS 39069-4879 | 2020-02-24 |
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1083257315 | Amanda Hanson | Nurse Practitioner | 2938 Highway 18 W, Fayette, AL 35555-6007 | 2019-10-18 |
| 1538715248 | Octavia Louise Mcquitty | Adult Companion | 504 Rocheport St, Fayette, MO 65248-1290 | 2019-08-18 |
| 1467006106 | Shenelle Savage | Technician | 131 Creekview Ln, Fayette, MS 39069-4596 | 2019-07-31 |
| 1902464415 | Takuya Suzuki | Specialist/Technologist | 400 Jones St, Fayette, IA 52142-9180 | 2019-05-30 |
| Find all providers in FAYETTE | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265752356 | John Ellis Evans | Family Medicine | 456 River Road, Fayette, MS 39069 | 2010-06-11 |
| 1225247505 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-22 |
| 1356410229 | Johnny B Bills | Family Medicine | 225 Community Ave, Fayette, MS 39069 | 2006-11-07 |
| 1053420323 | Jon E. Sanford,m.d.,p.c. | Family Medicine | 122 17th Ct Ne, Fayette, AL 35555-1353 | 2006-08-30 |
| 1912011370 | Janice L Hudson | Family Medicine | 1031 Temple Ave N, Fayette, AL 35555-1923 | 2006-08-19 |
| 1346289105 | Charles W Nolen Jr. | Family Medicine | 1705 1st Way Nw, Fayette, AL 35555-1307 | 2006-06-06 |
| 1578557948 | Garry W Magouirk | Family Medicine | 110 23rd St Nw, Fayette, AL 35555-1001 | 2005-08-31 |
| 1306462775 | Andrew Bennett Wright | Family Medicine | 308 S Church St, Fayette, MO 65248-1243 | 2020-06-22 |
| 1780200113 | Hannah Braungardt | Family Medicine | 308 S Church St, Fayette, MO 65248-1243 | 2020-06-22 |
| 1861018210 | Dalton Lohsandt | Family Medicine | 308 S Church St, Fayette, MO 65248-1243 | 2020-06-22 |
| Find all providers in FAYETTE | ||||
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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.