OrganizationActive
Community and Rural Health Services
NPI 1780683573 · Rural Health Clinic/Center · Fremont, OH
Provider details
- NPI number
- 1780683573
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Garza, Director of Human Resource(419) 334-8943
Specialties & taxonomies
Ambulatory Health Care Facilities
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2221 Hayes Ave
Fremont, OH 43420-2632
Phone: (419) 334-8943
Fax: (419) 334-8546
Street-level locationGet directions
Mailing address
2221 Hayes Ave
Fremont, OH 43420-2632
Registry dates
- Enumerated
- 2005-07-14
- Last updated
- 2021-07-27
- Certified
- 2021-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.