Family Health Services of Erie County
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Vermilion, OH
NPI 1962268425 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1962268425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- FAMILY HEALTH SERVICES OF ERIE COUNTY
- Practice address
- 1250 Sanford St
Vermilion, OH 44089-1577 - Phone
- (419) 502-2800
- Fax
- (419) 502-2821
- NPI assigned
- Feb 22, 2024
- Organization subpart
- No
Authorized official
- Name
- David Tatro
- Title
- Chief Executive Officer
- Phone
- (419) 502-2822
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Family Health Services of Erie County
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1250 Sanford St
Vermilion, OH 44089-1577
Mailing address
1912 Hayes Ave Ste D
Sandusky, OH 44870-4736
Phone (419) 502-2800
NPI Registry JSON
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708560000000",
"number": "1962268425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 HAYES AVE STE D",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448704736",
"telephone_number": "419-502-2800",
"fax_number": "419-502-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SANFORD ST",
"city": "VERMILION",
"state": "OH",
"postal_code": "440891577",
"telephone_number": "419-502-2800",
"fax_number": "419-502-2821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH SERVICES OF ERIE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A",
"authorized_official_last_name": "TATRO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "419-502-2822"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vermilion, OH
- David Carl Ernst
- Nicholas Michael Fabian
- Fairfax Road Counseling LLC
- Family Health Services of Erie County
- Family Health Services of Erie County
- Devijne Farley
- Fathiyyah Farrakhan
- Susan Diane Fee
- Firelands Pharmacy, Inc.
- Judi Lynn Fischer
All providers in Vermilion, OH · Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.