Provider Demographics
NPI:1790477008
Name:FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Entity Type:Organization
Organization Name:FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-548-3806
Mailing Address - Street 1:5735 MEEKER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1186
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 E CANAL ST
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:OH
Practice Address - Zip Code:45303-5120
Practice Address - Country:US
Practice Address - Phone:937-337-5141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health