| Marymount Primary Care Services, Inc | |
|
17747 Chillicothe Rd Suite 100 Chagrin Falls OH 44023-4739 | |
| (440) 543-8855 | |
| (440) 543-2470 |
| Full Name | Marymount Primary Care Services, Inc |
|---|---|
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 17747 Chillicothe Rd, Chagrin Falls, Ohio |
| Authorized Official Name and Position | Peter P Walchanowicz (PRACTICE MANAGER) |
| Authorized Official Contact | 4405438855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marymount Primary Care Services, Inc 17747 Chillicothe Rd Suite 100 Chagrin Falls OH 44023-4739 Ph: (440) 543-8855 | Marymount Primary Care Services, Inc 17747 Chillicothe Rd Suite 100 Chagrin Falls OH 44023-4739 Ph: (440) 543-8855 |
| NPI Number | 1023089653 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023089653 | NPI | - | NPPES |
| 000000028432 | Other | OH | ANTHEM |
| 0139719 | Medicaid | OH |
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