Organization
PERRY COUNTY FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMJAD RASS (OWNER)
(740) 680-6666
Entity
Organization
Contact information
Practice address
1625 AIRPORT RD, NEW LEXINGTON, OH 43764-9749
(740) 342-5158
(740) 342-7393
Mailing address
PO BOX 596, NEW LEXINGTON, OH 43764-0596
(740) 342-5158
(740) 342-6702
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
35-042516
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0940996
RURAL HEALTH MEDICAID
OH
01
—
363829
RURAL HEALTH MEDICARE
OH
Enumeration date
02/25/2008
Last updated
09/25/2025
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