Provider Demographics
NPI:1124298062
Name:DOVE FAMILY CARE
Entity type:Organization
Organization Name:DOVE FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-850-9990
Mailing Address - Street 1:2994 FRAZELL RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9785
Mailing Address - Country:US
Mailing Address - Phone:614-850-9990
Mailing Address - Fax:
Practice Address - Street 1:5123 NORWICH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1486
Practice Address - Country:US
Practice Address - Phone:614-850-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0982674Medicaid
OHF83472Medicare UPIN
OH0982674Medicaid