| Healthsource Of North Olmsted | |
|
24060 Lorain Rd North Olmsted OH 44070-2234 | |
| (440) 779-4226 | |
| Not Available |
| Full Name | Healthsource Of North Olmsted |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 24060 Lorain Rd, North Olmsted, Ohio |
| Authorized Official Name and Position | Rich Sheppard (OWNER) |
| Authorized Official Contact | 4407794226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of North Olmsted 24060 Lorain Rd North Olmsted OH 44070-2234 Ph: (440) 779-4226 | Healthsource Of North Olmsted 24060 Lorain Rd North Olmsted OH 44070-2234 Ph: (440) 779-4226 |
| NPI Number | 1346431269 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346431269 | NPI | - | NPPES |
| 2242228 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 2874 (Ohio) | Primary |
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