Provider Demographics
NPI:1649889320
Name:AFFORDABLE HEALTHCARE PARTNERS LLC
Entity type:Organization
Organization Name:AFFORDABLE HEALTHCARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHENER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:330-804-7000
Mailing Address - Street 1:2056 PORTAGE RD STE 6
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-1900
Mailing Address - Country:US
Mailing Address - Phone:330-804-7000
Mailing Address - Fax:330-804-7001
Practice Address - Street 1:2056 PORTAGE RD STE 6
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1900
Practice Address - Country:US
Practice Address - Phone:330-804-7000
Practice Address - Fax:330-804-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherN/A