| Portage Family Medicine, Inc | |
|
9480 Rosemont Dr Suite 100 Streetsboro OH 44241-4569 | |
| (330) 626-5566 | |
| (330) 626-2042 |
| Full Name | Portage Family Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9480 Rosemont Dr, Streetsboro, Ohio |
| Authorized Official Name and Position | Lora J Haver (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3306265566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Family Medicine, Inc 9480 Rosemont Dr Suite 100 Streetsboro OH 44241-4569 Ph: (330) 626-5566 | Portage Family Medicine, Inc 9480 Rosemont Dr Suite 100 Streetsboro OH 44241-4569 Ph: (330) 626-5566 |
| NPI Number | 1609968726 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609968726 | NPI | - | NPPES |
| 0796116 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Alternative Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9293 State Route 43, Streetsboro, OH 44241 Phone: 330-626-2691 Fax: 330-626-2898 | |
Denise M. Gallagher, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9480 Rosemont Dr, Streetsboro, OH 44241 Phone: 330-626-5566 Fax: 330-626-2042 |