| Organization Name: | FCHC MEDICAL CARE, LLC |
| NPI Number: | 1609056985 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL A SAUSSER (DIRECTOR) |
| Mailing Address: | 6696 Us Highway 20a Delta |
| State: | OH US |
| Postal Code: | 435159799 |
| Phone Number: | 4198223242 |
| Fax Number: | 4198229008 |
| NPI Enumeration Date: | 11/05/2007 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OH34002023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |