| East Holmes Family Care Inc | |
|
2040 Tr 661 Dundee OH 44624 | |
| (330) 359-5989 | |
| (330) 359-3590 |
| Full Name | East Holmes Family Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2040 Tr 661, Dundee, Ohio |
| Authorized Official Name and Position | Robert Kim Kornhaus (TREASURER-PHYSICIAN) |
| Authorized Official Contact | 3308933771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Holmes Family Care Inc Po Box 366 Berlin OH 44610 Ph: (330) 359-5989 | East Holmes Family Care Inc 2040 Tr 661 Dundee OH 44624 Ph: (330) 359-5989 |
| NPI Number | 1790808970 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 07/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790808970 | NPI | - | NPPES |
| 0851369 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |