Public record

CMS Federally Qualified Health Center All Owners

Associate id - owner: 6901905603 · 20 matching records

Enrollment id
O20091210000403
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Enrollment id
O20091210000403
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Enrollment id
O20100816000898
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20100816000898
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20110228000767
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20110228000767
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20141003001639
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Enrollment id
O20141003001639
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Enrollment id
O20231027001711
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20231027001711
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20231218002731
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20231218002731
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20231219001837
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20231219001837
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20240130001040
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20240130001040
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20240828003087
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20240828003087
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
EXECUTIVE DIRECTOR
Percentage ownership
100
Enrollment id
O20260610002208
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20260610002208
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
6901905603
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-22
First name - owner
JARED
Middle name - owner
M
Last name - owner
POLLICK
Title - owner
CEO
Percentage ownership
100

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