| Cortland Family Medical Center, Inc | |
|
151 S High St Cortland OH 44410-1450 | |
| (330) 638-6121 | |
| Not Available |
| Full Name | Cortland Family Medical Center, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 151 S High St, Cortland, Ohio |
| Authorized Official Name and Position | Ernest Lee Foster (PRESIDENT) |
| Authorized Official Contact | 3306386121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortland Family Medical Center, Inc 151 S High St Cortland OH 44410-1450 Ph: (330) 638-6121 | Cortland Family Medical Center, Inc 151 S High St Cortland OH 44410-1450 Ph: (330) 638-6121 |
| NPI Number | 1609934611 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 05/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609934611 | NPI | - | NPPES |
| 2882500 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1369 (Ohio) | Primary |
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