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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