| Lorain Road Health Care | |
|
24767 Lorain Rd North Olmsted OH 44070-2070 | |
| (440) 777-3595 | |
| (440) 777-3664 |
| Full Name | Lorain Road Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 24767 Lorain Rd, North Olmsted, Ohio |
| Authorized Official Name and Position | Gregory D Klyczek (PRESIDENT) |
| Authorized Official Contact | 4407773595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorain Road Health Care 24767 Lorain Rd North Olmsted OH 44070-2070 Ph: (440) 777-3595 | Lorain Road Health Care 24767 Lorain Rd North Olmsted OH 44070-2070 Ph: (440) 777-3595 |
| NPI Number | 1063683811 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 06/18/2008 |
| Medicare PECOS PAC ID | 7113189556 |
|---|---|
| Medicare Enrollment ID | O20120502000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063683811 | NPI | - | NPPES |
| 2535797 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gregory Klyczek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336122142 PECOS PAC ID: 2264694504 Enrollment ID: I20120502000129 |
Lakewood Hospital Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24700 Lorain Rd, Suite 120, North Olmsted, OH 44070 Phone: 440-734-3494 | |
North Olmsted Urgent Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25757 Lorain Rd, North Olmsted, OH 44070 Phone: 440-471-7083 Fax: 440-471-7113 | |
Bioserenity Usa, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25000 Country Club Blvd, Suite 120, North Olmsted, OH 44070 Phone: 440-845-0022 | |
West Side Internal Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24700 Lorain Rd, Suite 207, North Olmsted, OH 44070 Phone: 440-779-5505 Fax: 440-779-1342 | |
Aleppo Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25757 Lorain Rd, North Olmsted, OH 44070 Phone: 440-590-6800 Fax: 440-484-3255 | |
Healthsource Of North Olmsted Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24060 Lorain Rd, North Olmsted, OH 44070 Phone: 440-779-4226 |