FCHC MEDICAL CARE, LLC (NPI# 1609056985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609056985 |
| Entity Type | Organization |
| Organization Name | FCHC MEDICAL CARE, LLC |
| Other Organization Name | DELTA MEDICAL CENTER |
| Practice Address |
6696 Us Highway 20a Delta OH 43515-9799 |
| Mailing Address |
735 S Shoop Ave Wauseon OH 43567-1735 |
| Practice Telephone | 4198223242 |
| Practice Fax Number | 4198229008 |
| Mailing Telephone | 4193356483 |
| Mailing Fax Number | 4193359615 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | PATRICIA FINN (CEO) |
| Authorized Official Telephone | 4193352015 |
| Is Organization Subpart | Y |
| Parent Organization Name | FULTON COUNTY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OH34002023 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2707324 | 05 | |
| ANTHEM BCBS | 000000500850 | 01 | |
| OH | 3121204 | 05 |
| Other Name | Type Code |
|---|---|
| Delta 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 |
| 1093994360 | Fchc Medical Care, LLC | Obstetrics & Gynecology | 735 S Shoop Ave, Wauseon, OH 43567-1735 | 2007-11-02 |
| 1548449812 | Fchc Medical Care, LLC | Family Medicine | 124 West Main Street, Fayette, OH 43521 | 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 |
6696 US HIGHWAY 20A |
| City | DELTA |
| State | OH |
| Zip Code | 43515-9799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695775 | Rebecca Jo Shirley | Nurse Practitioner | 6696 Us Highway 20a, Delta, OH 43515-9799 | 2006-04-01 |
| 1821280322 | Shelly Kay Mills | Family Medicine | 6696 Us Highway 20a, Delta, OH 43515-9799 | 2007-08-17 |
| 1033320049 | Ann Marie Steck | Family Medicine | 6696 Us Highway 20a, Delta, OH 43515 | 2007-05-24 |
| 1144333808 | Susan K Murry | Nurse Practitioner | 6696 Us Highway 20a, Delta, OH 43515 | 2006-08-16 |
| 1235173899 | Dexter L Phillips Jr. | Emergency Medicine | 6696 Us Highway 20a, Delta, OH 43515 | 2006-06-15 |
| 1093754749 | Harry E Murtiff | Family Medicine | 6696 Us Highway 20a, Delta, OH 43515 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205038320 | Marilyn Jo Herriott | Licensed Practical Nurse | 7553 Country Road, #4, Delta, OH 43515 | 2007-06-01 |
| 1063737260 | Melanie Jane Pickard | Licensed Practical Nurse | 810 Oakview Dr, Delta, OH 43515-1065 | 2010-03-30 |
| 1992323687 | Michael James Juhasz | Home Health Aide | 408 Palmwood St, Delta, OH 43515-1110 | 2020-07-08 |
| 1053331140 | Stephen F Mattin | Dentist | 103 Wood St, Delta, OH 43515-1111 | 2006-07-20 |
| 1326301953 | Robert Charles Leitner | Dentist | 103 Wood St, Delta, OH 43515-1111 | 2012-06-19 |
| 1518305382 | Bobbie Gean Lantz | Licensed Practical Nurse | 201 Wood St, Delta, OH 43515-1113 | 2013-06-13 |
| 1083968507 | Roxanne Miller | Licensed Practical Nurse | 305 Wood St, Delta, OH 43515-1115 | 2012-11-06 |
| 1760889141 | Roxanne Miller | Home Health | 305 Wood St, Delta, OH 43515-1115 | 2014-12-01 |
| 1427156033 | Joseph Frederick Steurnagel | Family Medicine | 101 Adrian St, Delta, OH 43515-1117 | 2006-09-20 |
| 1770139768 | Nesreen Aouthmany | Dentist | 101 Adrian St, Delta, OH 43515-1117 | 2019-08-14 |
| Find all providers in zip 43515 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.