Public record

CMS Federally Qualified Health Center All Owners

Associate id - owner: 9739229451 · 10 matching records

Enrollment id
O20091210000403
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-25
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Enrollment id
O20100816000898
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-10-20
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Enrollment id
O20110228000767
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2009-10-20
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Enrollment id
O20141003001639
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2003-06-23
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Enrollment id
O20231027001711
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-25
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231218002731
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-25
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20231219001837
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-25
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20240130001040
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-25
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20240828003087
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-25
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Percentage ownership
0
Enrollment id
O20260610002208
Associate id
5698762235
Organization name
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC.
Associate id - owner
9739229451
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-07-25
First name - owner
SCOTT
Middle name - owner
C
Last name - owner
CLUM
Title - owner
BOARD MEMBER
Percentage ownership
0

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