Organization
FOUNDATION HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B EVAN MD (PRESIDENT)
(330) 707-1425
Entity
Organization
Contact information
Practice address
821 MCCARTNEY RD, YOUNGSTOWN, OH 44505-5000
(330) 743-4440
(330) 743-4488
Mailing address
6615 CLINGAN ROAD, SUITE D, POLAND, OH 44514-4202
(330) 707-1425
(330) 757-2814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0542578
—
OH
05
—
0928009
—
OH
Enumeration date
04/06/2007
Last updated
04/10/2008
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