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Contact Information

ADVANCED FAMILY MEDICAL CENTER LLC
205 MARION PIKE
COAL GROVE, OH45638-3165
 Phone: 740-532-5944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY MEDICAL CENTER LLC

NPI # 1316032303
LBN Legal business name ADVANCED FAMILY MEDICAL CENTER LLC
Authorized official PETER TSAI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 35085449
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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