| University Hospitals Medical Group, Inc. | |
|
9000 Mentor Ave Suite 209 Mentor OH 44060-4496 | |
| (440) 974-4403 | |
| Not Available |
| Full Name | University Hospitals Medical Group, Inc. |
|---|---|
| Speciality | Urology |
| Location | 9000 Mentor Ave, Mentor, Ohio |
| Authorized Official Name and Position | Larry Mcelroy (CONTROLLER) |
| Authorized Official Contact | 2163836756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Hospitals Medical Group, Inc. 24701 Euclid Ave 3rd Floor Euclid OH 44117-1714 Ph: (216) 383-6616 | University Hospitals Medical Group, Inc. 9000 Mentor Ave Suite 209 Mentor OH 44060-4496 Ph: (440) 974-4403 |
| NPI Number | 1891008256 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891008256 | NPI | - | NPPES |
| 2691903 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Ohio) | Secondary |
| 208800000X | Urology | (Ohio) | Primary |
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