OrganizationActive
Fairfield Community Health Center
NPI 1396024212 · Federally Qualified Health Center (FQHC) · Baltimore, OH
Provider details
- NPI number
- 1396024212
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Evangelista, Ceo(740) 277-6043
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1055 W Market St
Suite H
Baltimore, OH 43105-1283
Phone: (740) 277-6043
Street-level locationGet directions
Mailing address
220 E Walnut St
Lancaster, OH 43130-4464
Registry dates
- Enumerated
- 2011-08-09
- Last updated
- 2023-07-17
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.