Provider Demographics
NPI:1235598715
Name:MEIGS FAMILY HEALTHCARE
Entity Type:Organization
Organization Name:MEIGS FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DEQUASIE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:740-992-3809
Mailing Address - Street 1:33101 HILAND RD
Mailing Address - Street 2:
Mailing Address - City:POMEROY
Mailing Address - State:OH
Mailing Address - Zip Code:45769-9759
Mailing Address - Country:US
Mailing Address - Phone:740-992-0220
Mailing Address - Fax:740-992-0223
Practice Address - Street 1:33101 HILAND RD
Practice Address - Street 2:
Practice Address - City:POMEROY
Practice Address - State:OH
Practice Address - Zip Code:45769-9759
Practice Address - Country:US
Practice Address - Phone:740-992-0220
Practice Address - Fax:740-992-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty