| Elyria Medical Center Llc | |
|
160 Cleveland St Elyria OH 44035-6155 | |
| (440) 322-6032 | |
| (440) 323-0868 |
| Full Name | Elyria Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 160 Cleveland St, Elyria, Ohio |
| Authorized Official Name and Position | Chuka Onyeneke (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4403226032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elyria Medical Center Llc 160 Cleveland St Elyria OH 44035-6155 Ph: () - | Elyria Medical Center Llc 160 Cleveland St Elyria OH 44035-6155 Ph: (440) 322-6032 |
| NPI Number | 1467517136 |
|---|---|
| Provider Enumeration Date | 12/23/2006 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467517136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 65855 (Ohio) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 65855 (Ohio) | Secondary |
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