Organization
COMMUNITY AND RURAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GARZA (DIRECTOR OF HUMAN RESOURCE)
(419) 334-8943
Entity
Organization
Contact information
Practice address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
(419) 334-8546
Mailing address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
(419) 334-8546
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2005
Last updated
07/27/2021
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