| Lorain County Health & Dentistry | |
|
35557 Center Ridge Rd North Ridgeville OH 44039-3019 | |
| (440) 240-1655 | |
| (440) 240-1663 |
| Full Name | Lorain County Health & Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 35557 Center Ridge Rd, North Ridgeville, Ohio |
| Authorized Official Name and Position | Lisa M Hemker (CFO) |
| Authorized Official Contact | 4402401655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorain County Health & Dentistry 1205 Broadway Lorain OH 44052-3409 Ph: (440) 240-1655 | Lorain County Health & Dentistry 35557 Center Ridge Rd North Ridgeville OH 44039-3019 Ph: (440) 240-1655 |
| NPI Number | 1437902384 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 9234047853 |
|---|---|
| Medicare Enrollment ID | O20240610001422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437902384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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On-site Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39245 Center Ridge Rd Ste B, North Ridgeville, OH 44039 Phone: 866-536-3506 Fax: 866-777-8589 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35557 Center Ridge Rd, North Ridgeville, OH 44039 Phone: 440-240-1655 Fax: 440-240-1663 | |
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Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35557 Center Ridge Rd., North Ridgeville, OH 44039 Phone: 440-240-1655 Fax: 440-240-1663 |