Provider Demographics
NPI:1952484685
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:330-424-1404
Mailing Address - Street 1:356 E LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:OH
Mailing Address - Zip Code:44432
Mailing Address - Country:US
Mailing Address - Phone:330-424-1404
Mailing Address - Fax:330-424-1811
Practice Address - Street 1:356 E LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:OH
Practice Address - Zip Code:44432
Practice Address - Country:US
Practice Address - Phone:330-424-1404
Practice Address - Fax:330-424-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0936107Medicaid
OH9273561Medicare PIN