WARREN FAMILY MEDICAL INC. NPI 1013106467

NPI Information

NPI: 1013106467
Provider Name: WARREN FAMILY MEDICAL, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
8700 E MARKET ST
SUITE 4
WARREN, OH
ZIP 44484
Phone: (330) 856-7702
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WARREN FAMILY MEDICAL, INC. is a health service clinic center in Warren, OH. WARREN FAMILY MEDICAL, INC. NPI is 1013106467. The provider is registered as an organization entity type.

The provider's business location address is:

8700 E MARKET ST
SUITE 4
WARREN, OH
ZIP 44484-340
Phone: (330) 856-7702

The provider's authorized official is Fareedah Zakiyyah Goodwin .
The authorized official title is President and has the following contact phone number (330) 856-7702.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 1/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	85291	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2985328	MEDICAID	OHIO
2	I42440	MEDICARE UPIN	OHIO
3	9357061	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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