# MEDICAL HOME PRIMARY CARE CENTER

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

## Provider details

- **NPI number:** 1578870911
- **Authorized official:** CHERYL L CROWDER (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (740) 455-3304

## Contact information

- **Practice address:** 3620 COURT DR, ZANESVILLE, OH 43701-6456
- **Practice address phone:** (740) 454-1248
- **Practice address fax:** (740) 454-8183
- **Mailing address:** PO BOX 1821, ZANESVILLE, OH 43702-1821
- **Mailing address phone:** (740) 455-3304
- **Mailing address fax:** (740) 455-3686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35075041D | OH | Yes |

## Other

- **Enumeration date:** 09/07/2010
- **Last updated:** 09/07/2010