Provider Demographics
NPI:1467541201
Name:FAMILY HEALTH CARE OF COLUMBIANA COUNTY INC
Entity Type:Organization
Organization Name:FAMILY HEALTH CARE OF COLUMBIANA COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:E
Authorized Official - Last Name:GETZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-337-3500
Mailing Address - Street 1:166 VINE ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460
Mailing Address - Country:US
Mailing Address - Phone:330-337-3500
Mailing Address - Fax:330-337-6400
Practice Address - Street 1:166 VINE ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460
Practice Address - Country:US
Practice Address - Phone:330-337-3500
Practice Address - Fax:330-337-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0936090Medicaid
OH0936090Medicaid