| Flying High Inc. | |
|
6 Federal Plaza Central Suite 705 Youngstown OH 44503-1514 | |
| (330) 797-3995 | |
| (330) 270-9492 |
| Full Name | Flying High Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6 Federal Plaza Central, Youngstown, Ohio |
| Authorized Official Name and Position | Jeffrey Michael Magada (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3307973995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flying High Inc. 6 Federal Plaza Central Suite 705 Youngstown OH 44503-1514 Ph: (330) 797-3995 | Flying High Inc. 6 Federal Plaza Central Suite 705 Youngstown OH 44503-1514 Ph: (330) 797-3995 |
| NPI Number | 1902206618 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 0345649729 |
|---|---|
| Medicare Enrollment ID | O20210604002813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902206618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12908 (Ohio) | Primary |
| Provider Name | Joseph Sitarik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669543906 PECOS PAC ID: 9830120450 Enrollment ID: I20050824000033 |
| Provider Name | Reyna Marian Thomae-starzyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790274306 PECOS PAC ID: 5799110151 Enrollment ID: I20200114001094 |
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