Provider Demographics
NPI:1669610036
Name:WHITEHALL FAMILY HEALTH CENTER
Entity type:Organization
Organization Name:WHITEHALL FAMILY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:614-546-4201
Mailing Address - Street 1:882 S HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3003
Mailing Address - Country:US
Mailing Address - Phone:614-546-4225
Mailing Address - Fax:614-546-4243
Practice Address - Street 1:882 S HAMILTON RD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-3003
Practice Address - Country:US
Practice Address - Phone:614-546-4225
Practice Address - Fax:614-546-4246
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL PARK FAMILY HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care