Healthspan Integrated Care | |
20575 Center Ridge Rd Suite 500 Rocky River OH 44116-3422 | |
(216) 265-8810 | |
(216) 265-8890 |
Full Name | Healthspan Integrated Care |
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Speciality | Internal Medicine |
Location | 20575 Center Ridge Rd, Rocky River, Ohio |
Authorized Official Name and Position | David A Nowiski (CFO) |
Authorized Official Contact | 5136392722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healthspan Integrated Care 615 Elsinore Pl Cincinnati OH 45202-1459 Ph: (513) 639-2722 | Healthspan Integrated Care 20575 Center Ridge Rd Suite 500 Rocky River OH 44116-3422 Ph: (216) 265-8810 |
NPI Number | 1912334905 |
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Provider Enumeration Date | 10/04/2013 |
Last Update Date | 10/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912334905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Goodside Health Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20575 Center Ridge Rd Ste 112, Rocky River, OH 44116 Phone: 281-203-5006 | |
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