| Signature Health, Inc | |
|
24200 Chagrin Blvd Beachwood OH 44122-5550 | |
| (216) 831-6466 | |
| (440) 918-3839 |
| Full Name | Signature Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24200 Chagrin Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | Jonathan Albert Lee (CEO) |
| Authorized Official Contact | 4409539999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Health, Inc 38882 Mentor Ave Willoughby OH 44094-7875 Ph: (440) 953-9999 | Signature Health, Inc 24200 Chagrin Blvd Beachwood OH 44122-5550 Ph: (216) 831-6466 |
| NPI Number | 1952810640 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 11/26/2023 |
| Medicare PECOS PAC ID | 8628970985 |
|---|---|
| Medicare Enrollment ID | O20171027002654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952810640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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