Organization Active NPI

East Palestine Family Medical Clinic, Inc.

  • Family Medicine Physician
  • East Palestine, OH
National Provider Identifier
1275851669
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-001678 Issued in OH
Legal business name
EAST PALESTINE FAMILY MEDICAL CLINIC, INC.
Practice address
50410 State RT. #14
East Palestine, OH 44413
Phone
(330) 426-2422
Fax
(330) 426-2275
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony J. Rich, D.O.
Title
Physician
Phone
(330) 426-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34-001678 OH Primary

Addresses

Primary practice location

50410 State RT. #14
East Palestine, OH 44413

Mailing address

50410 State RT. #14
East Palestine, OH 44413
Phone (330) 426-2422

Other identifiers 1

IdentifierTypeStateIssuer
0064826MedicaidOH

National Provider Directory

National Provider Directory

Locations

50410 State Route 14
East Palestine, OH 44413
Phone (330) 426-2422

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1275851669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50410 STATE RT. #14",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "44413",
            "telephone_number": "330-426-2422",
            "fax_number": "330-426-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50410 STATE RT. #14",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "44413",
            "telephone_number": "330-426-2422",
            "fax_number": "330-426-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PALESTINE FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-426-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-001678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064826",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palestine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.