Lorain County Health & Dentistry | |
3745 Grove Ave Lorain OH 44055 | |
(440) 240-1655 | |
(440) 245-1218 |
Full Name | Lorain County Health & Dentistry |
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Speciality | Clinic/Center |
Location | 3745 Grove Ave, Lorain, Ohio |
Authorized Official Name and Position | Stephanie Wiersma (PRESIDENT & CEO) |
Authorized Official Contact | 4402331059 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lorain County Health & Dentistry 1205 Broadway Lorain OH 44052-3409 Ph: (440) 240-1655 | Lorain County Health & Dentistry 3745 Grove Ave Lorain OH 44055 Ph: (440) 240-1655 |
NPI Number | 1598930877 |
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Provider Enumeration Date | 04/28/2008 |
Last Update Date | 09/30/2013 |
Medicare PECOS PAC ID | 9234047853 |
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Medicare Enrollment ID | O20030217000008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598930877 | NPI | - | NPPES |
2500841 | Medicaid | OH | |
CJ8620 | Other | OH | MEDICARE RAILROAD |
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