# FOUNDATION HEALTH CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083828974
- **Authorized official:** MICHAEL B EVAN MD (PRESIDENT)
- **Authorized official phone:** (330) 707-1425

## Contact information

- **Practice address:** 6615 CLINGAN ROAD, SUITE A, POLAND, OH 44514
- **Practice address phone:** (330) 707-1425
- **Practice address fax:** (330) 757-2814
- **Mailing address:** 6615 CLINGAN ROAD, SUITE A, POLAND, OH 44514
- **Mailing address phone:** (330) 707-1425
- **Mailing address fax:** (330) 757-2814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35-04-7881 | OH | — |
| 207Q00000X | Family Medicine Physician | 35-049373 | OH | Yes |
| 207R00000X | Internal Medicine Physician | 34-00-5052 | OH | — |
| 207R00000X | Internal Medicine Physician | 35-08-6492 | OH | — |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 02/11/2008