Provider Demographics
NPI:1255650859
Name:FIRST COMMUNITY HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:FIRST COMMUNITY HEALTH SERVICES, LLC
Other - Org Name:FCHS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-293-7158
Mailing Address - Street 1:3634 WATERTOWER LN
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-4000
Mailing Address - Country:US
Mailing Address - Phone:937-247-0400
Mailing Address - Fax:937-247-0575
Practice Address - Street 1:3634 WATERTOWER LN
Practice Address - Street 2:SUITE 4
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-4000
Practice Address - Country:US
Practice Address - Phone:937-247-0400
Practice Address - Fax:937-247-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0068047Medicaid
OH368413OtherMEDICARE ID TYPE UNSPECIFIED