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FAMILY HEALTH PHYSICAL MEDICINE LLC NPI 1720512965


NPI Information

NPI: 1720512965
Provider Name: FAMILY HEALTH PHYSICAL MEDICINE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
641 E STATE ST
ALLIANCE, OH
ZIP 44601
Phone: (330) 821-4455
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FAMILY HEALTH PHYSICAL MEDICINE, LLC is a durable medical equipment medical supplies in Alliance, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FAMILY HEALTH PHYSICAL MEDICINE, LLC NPI is 1720512965. The provider is registered as an organization entity type.

The provider's business location address is:

641 E STATE ST
ALLIANCE, OH
ZIP 44601-913
Phone: (330) 821-4455
Fax: (330) 821-4504

The provider's authorized official is Nick G. Koinoglou .
The authorized official title is Owner/president/doctor and has the following contact phone number (330) 821-4455.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 4/14/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies35.082293OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10084079MEDICAIDOHIO

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: 4/28/2024

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