Provider Demographics
NPI:1952554248
Name:FAMILY MATTERS MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:FAMILY MATTERS MEDICAL CENTER, LLC
Other - Org Name:FAMILY MATTERS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:IRVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-469-9989
Mailing Address - Street 1:5000 E MARKET ST
Mailing Address - Street 2:UNIT 1A
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2260
Mailing Address - Country:US
Mailing Address - Phone:330-469-9989
Mailing Address - Fax:330-469-9992
Practice Address - Street 1:5000 E MARKET ST
Practice Address - Street 2:UNIT 1A
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2260
Practice Address - Country:US
Practice Address - Phone:330-469-9989
Practice Address - Fax:330-469-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty