# FAMILY HEALTH MEDICAL SERVICES JAMESTOWN CONVENIENCE CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY HEALTH MEDICAL SERVICES, PLLC
- **Other names:** Jamestown Convenience Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801104583
- **Legal business name:** FAMILY HEALTH MEDICAL SERVICES, PLLC
- **Authorized official:** DR. ROBERT BERKE MD (MANAGING PARTNER)
- **Authorized official phone:** (716) 753-5315

## Contact information

- **Practice address:** 320 PRATHER AVENUE, SUITE 200, JAMESTOWN, NY 14701-6920
- **Practice address phone:** (716) 753-7107
- **Practice address fax:** (716) 753-5367
- **Mailing address:** PO BOX 168, 95 E CHAUTAUQUA ST, MAYVILLE, NY 14757-0168
- **Mailing address phone:** (716) 753-7107
- **Mailing address fax:** (716) 753-5367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 02/29/2012
