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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
755 BOARDMAN-CANFILED ROAD, SUITE F5, YOUNGSTOWN, OH 44514
(330) 726-3806
(330) 726-9450
Mailing address
6615 CLINGAN RD, SUITE D, POLAND, OH 44514-2196
(330) 707-1425
(330) 757-2814

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083828974
NPI
01
1467436261
NPI
01
FO9371331
PTAN
OH
Enumeration date
04/10/2007
Last updated
02/11/2008
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