| Signature Health Inc. | |
|
54 S State St Painesville OH 44077-3445 | |
| (440) 853-1501 | |
| Not Available |
| Full Name | Signature Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 54 S State St, Painesville, Ohio |
| Authorized Official Name and Position | Indrani Egleston (CFO) |
| 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. 462 Chardon St Painesville OH 44077-3019 Ph: () - | Signature Health Inc. 54 S State St Painesville OH 44077-3445 Ph: (440) 853-1501 |
| NPI Number | 1487199931 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 8628970985 |
|---|---|
| Medicare Enrollment ID | O20170215001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487199931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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