Provider Demographics
NPI:1003822446
Name:ZILE FAMILY HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ZILE FAMILY HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTICE PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZILE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-393-4899
Mailing Address - Street 1:1402 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-8514
Mailing Address - Country:US
Mailing Address - Phone:937-393-4899
Mailing Address - Fax:937-393-4996
Practice Address - Street 1:1402 N HIGH ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-8514
Practice Address - Country:US
Practice Address - Phone:937-393-4899
Practice Address - Fax:937-393-4996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-05-9032-Z207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0838535Medicaid
OHE80830Medicare UPIN
OH0690783Medicare ID - Type Unspecified