| Community And Rural Health Services | |
|
2221 Hayes Ave Fremont OH 43420-2632 | |
| (419) 334-8943 | |
| (419) 334-8546 |
| Full Name | Community And Rural Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2221 Hayes Ave, Fremont, Ohio |
| Authorized Official Name and Position | Jessica Garza (DIRECTOR OF HUMAN RESOURCE) |
| Authorized Official Contact | 4193348943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community And Rural Health Services 2221 Hayes Ave Fremont OH 43420-2632 Ph: (419) 334-8943 | Community And Rural Health Services 2221 Hayes Ave Fremont OH 43420-2632 Ph: (419) 334-8943 |
| NPI Number | 1780683573 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 5395733224 |
|---|---|
| Medicare Enrollment ID | O20040430001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780683573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | John P Imm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215939848 PECOS PAC ID: 3476456385 Enrollment ID: I20040128001205 |
| Provider Name | Abeer Ahmed Abdelmotaleb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689643959 PECOS PAC ID: 7517911530 Enrollment ID: I20050311000320 |
| Provider Name | Todd A Meredith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841283272 PECOS PAC ID: 9436190790 Enrollment ID: I20050517000442 |
| Provider Name | Penny Mullins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730148099 PECOS PAC ID: 3476564972 Enrollment ID: I20060517000009 |
| Provider Name | Cori L Jacobson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093713992 PECOS PAC ID: 4789687880 Enrollment ID: I20060810000115 |
| Provider Name | Yasmin D Pirzada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871510800 PECOS PAC ID: 5698744068 Enrollment ID: I20070626000064 |
| Provider Name | Bonnie Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932166345 PECOS PAC ID: 9234206939 Enrollment ID: I20080923000094 |
| Provider Name | Mary E Grist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912175316 PECOS PAC ID: 4486722675 Enrollment ID: I20081001000025 |
| Provider Name | Dori A Dalton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932429537 PECOS PAC ID: 3870625262 Enrollment ID: I20100721000179 |
| Provider Name | James R Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023110335 PECOS PAC ID: 8123209608 Enrollment ID: I20110217000363 |
| Provider Name | Jessica W Clarke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124283049 PECOS PAC ID: 3375712979 Enrollment ID: I20110817000278 |
| Provider Name | Rachel Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801220884 PECOS PAC ID: 0941528616 Enrollment ID: I20150408001725 |
| Provider Name | Brady S Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841608320 PECOS PAC ID: 0345560025 Enrollment ID: I20150520001322 |
| Provider Name | Monica S Jay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235376823 PECOS PAC ID: 7517279565 Enrollment ID: I20150702002159 |
| Provider Name | Robyn Lynn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609217348 PECOS PAC ID: 8729213905 Enrollment ID: I20150804003279 |
| Provider Name | Alyce E Sopkovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053705715 PECOS PAC ID: 3072821578 Enrollment ID: I20151002001214 |
| Provider Name | Betty K Rumschlag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740301472 PECOS PAC ID: 4082740238 Enrollment ID: I20160108000648 |
| Provider Name | Jeffrey D Remaklus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497113120 PECOS PAC ID: 5991095515 Enrollment ID: I20160609000760 |
| Provider Name | Sheri A Clouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467804559 PECOS PAC ID: 6507151685 Enrollment ID: I20160829001528 |
| Provider Name | Aarti Chelliah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871933275 PECOS PAC ID: 0648554667 Enrollment ID: I20170310000711 |
| Provider Name | Alisha M Kirchgessner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962945105 PECOS PAC ID: 6800171729 Enrollment ID: I20170315002545 |
| Provider Name | Bridget Faricy-beredo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447705124 PECOS PAC ID: 3173808557 Enrollment ID: I20170327002334 |
| Provider Name | Rachael Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649633512 PECOS PAC ID: 0345518536 Enrollment ID: I20170612001552 |
| Provider Name | Melissa Bianchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992232367 PECOS PAC ID: 3476822701 Enrollment ID: I20170629003052 |
| Provider Name | Diana L Orns-grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346677838 PECOS PAC ID: 7012288368 Enrollment ID: I20170803003502 |
| Provider Name | Laura Anglim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316476476 PECOS PAC ID: 8921374935 Enrollment ID: I20171018003301 |
| Provider Name | Traci Lin Ernest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578076345 PECOS PAC ID: 7517229602 Enrollment ID: I20180330000357 |
| Provider Name | Kriti Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083020960 PECOS PAC ID: 1557670536 Enrollment ID: I20180502002911 |
| Provider Name | Helen Mary O'connell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427461342 PECOS PAC ID: 7416251541 Enrollment ID: I20181107001895 |
| Provider Name | Komal Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141455 PECOS PAC ID: 2769609072 Enrollment ID: I20191003000817 |
| Provider Name | Mani Khorsand Askari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003284076 PECOS PAC ID: 7416252846 Enrollment ID: I20200107002639 |
| Provider Name | Amanda Kiddey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568000438 PECOS PAC ID: 4981032851 Enrollment ID: I20200309001253 |
| Provider Name | Victoria Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415185 PECOS PAC ID: 9739592023 Enrollment ID: I20210105002277 |
| Provider Name | Julia Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932603719 PECOS PAC ID: 2062800899 Enrollment ID: I20211028001034 |
| Provider Name | Kayla Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114684800 PECOS PAC ID: 1052703550 Enrollment ID: I20220112003007 |
| Provider Name | Lucas Shammo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518606854 PECOS PAC ID: 4880073550 Enrollment ID: I20220627002179 |
| Provider Name | Eliverta Azizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336878206 PECOS PAC ID: 4385020650 Enrollment ID: I20221011000512 |
| Provider Name | Amy Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043926736 PECOS PAC ID: 0648644757 Enrollment ID: I20230313000525 |
| Provider Name | Faith Mcneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639863673 PECOS PAC ID: 2365806379 Enrollment ID: I20230908003323 |
| Provider Name | Alicia Weininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285362483 PECOS PAC ID: 0143675884 Enrollment ID: I20231016001682 |
Fremont Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Glen Springs Dr, Fremont, OH 43420 Phone: 419-332-4223 Fax: 419-332-9099 | |
Charles E. Hull, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Glen Springs Dr, Fremont, OH 43420 Phone: 419-332-4648 Fax: 419-332-9099 | |
Jonathan F. Diller, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 Hayes Ave, Suite 4, Fremont, OH 43420 Phone: 419-332-9978 Fax: 419-332-7989 | |
Babar Sanaullah Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 N Brush St, Fremont, OH 43420 Phone: 419-291-8447 Fax: 419-479-3253 | |
Rickey Wright Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1823 W State St, Fremont, OH 43420 Phone: 419-334-7737 Fax: 419-334-2528 | |
Dr Daniel Kelderhouse Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Park Ave, Fremont, OH 43420 Phone: 419-334-8941 | |
Family Medicine Associates Of Sandusky Co Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1479 N River Rd, Fremont, OH 43420 Phone: 419-355-9440 Fax: 419-355-9443 |