| Full Name | |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 510 5th Ave, Chardon, Ohio |
| Authorized Official Name and Position | Robert Tracz (CFO) |
| Authorized Official Contact | 4403541952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 781348 Detroit MI 48278-4110 Ph: (440) 286-8908 | 510 5th Ave Chardon OH 44024-1077 Ph: (440) 286-8908 |
| NPI Number | 1689634966 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689634966 | NPI | - | NPPES |
| 264200003 | Other | OH | DEPT OF LABOR |
| 264200003 | Other | OH | FEDERAL BLACK LUNG |
| 2475352 | Medicaid | OH | |
| 6600162 | Other | OH | UNITED HEALTHCARE |
| 2017301 | Medicaid | OH | |
| 80507 | Other | OH | QUALCHOICE |
Geauga Family Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13221 Ravenna Rd, Suite 8, Chardon, OH 44024 Phone: 440-286-6155 Fax: 440-286-6156 | |
Community Hospitalist, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-542-5023 | |
Abdul Halawa, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13170 Ravenna Rd, Suite #206, Chardon, OH 44024 Phone: 440-301-6469 | |
Louis Leone D.o. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Center St, Chardon, OH 44024 Phone: 440-285-8585 Fax: 440-285-3754 | |
Steven Arnold Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11525 Taylor Wells Rd, Chardon, OH 44024 Phone: 440-637-4229 |