Organization
FAMILY HEALTH SERVICES OF ERIE COUNTY
Active
Organization
FAMILY HEALTH SERVICES OF ERIE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TATRO (CHIEF EXECUTIVE OFFICER)
(419) 502-2800
Entity
Organization
Contact information
Practice address
1912 HAYES AVE, SANDUSKY, OH 44870-4736
(419) 502-2822
Mailing address
1912 HAYES AVE, SANDUSKY, OH 44870-4736
(419) 502-2822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125602
—
OH
Enumeration date
11/04/2008
Last updated
07/29/2024
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