| Signature Health, Inc. | |
|
38876 Mentor Avenue Willoughby OH 44094 | |
| (440) 953-9999 | |
| (440) 918-3839 |
| Full Name | Signature Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 38876 Mentor Avenue, Willoughby, Ohio |
| Authorized Official Name and Position | Jonathan Albert Lee (CEO) |
| Authorized Official Contact | 4405788200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Health, Inc. 7232 Justin Way Mentor OH 44060-4881 Ph: (440) 578-8200 | Signature Health, Inc. 38876 Mentor Avenue Willoughby OH 44094 Ph: (440) 953-9999 |
| NPI Number | 1306612882 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 8628970985 |
|---|---|
| Medicare Enrollment ID | O20231214000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306612882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Signature Health Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Signature Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38876 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Diane M. Cornicelli, M.d. Inc, Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36001 Euclid Ave, Suite C-19, Willoughby, OH 44094 Phone: 216-374-9664 | |
Primehealth Internal Medicine Willoughby Hills Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2747 Som Center Rd, Willoughby, OH 44094 Phone: 440-354-1899 Fax: 440-354-1089 | |
Willoughby Medical Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5105 Som Center Road, Willoughby, OH 44094 Phone: 216-265-8844 Fax: 216-265-8890 | |
Signature Health Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 |