Provider Demographics
NPI:1336555374
Name:AFTER HOURS FAMILY HEALTH CARE LLC
Entity Type:Organization
Organization Name:AFTER HOURS FAMILY HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARTRIP
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:740-497-4693
Mailing Address - Street 1:1204 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1000
Mailing Address - Country:US
Mailing Address - Phone:740-497-4693
Mailing Address - Fax:740-497-4692
Practice Address - Street 1:1204 N COURT ST
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1000
Practice Address - Country:US
Practice Address - Phone:740-497-4693
Practice Address - Fax:740-497-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty