| Organization Name: | PEDIATRIC AND FAMILY MEDICINE HEALTH CARE INC. |
| NPI Number: | 1013034206 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DELIA SLAGA (OWNER) |
| Mailing Address: | 2400 Wales Ave Nw Suite C & D Massillon |
| State: | OH US |
| Postal Code: | 446460804 |
| Phone Number: | 3308374467 |
| Fax Number: | 3308374688 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 03/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 35-100320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |