| University Hospitals Medical Group, Inc. | |
|
1611 S Green Rd Suite 204 South Euclid OH 44121-4129 | |
| (216) 844-3192 | |
| Not Available |
| Full Name | University Hospitals Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1611 S Green Rd, South Euclid, Ohio |
| Authorized Official Name and Position | Larry Mcelroy (CONTROLLER) |
| Authorized Official Contact | 2163836616 |
| 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. 1611 S Green Rd Suite 204 South Euclid OH 44121-4129 Ph: (216) 844-3192 |
| NPI Number | 1477862571 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477862571 | NPI | - | NPPES |
| 2691903 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Ohio) | Primary |
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