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8930 Canyon Falls Twinsburg OH 44087 | |
(216) 265-8844 | |
(216) 265-8890 |
Full Name | |
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Speciality | Clinic/center |
Location | 8930 Canyon Falls, Twinsburg, Ohio |
Authorized Official Name and Position | Craig Faerber (VP CFO) |
Authorized Official Contact | 2162658844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12301 Snow Road Parma OH 44130 Ph: (216) 265-8844 | 8930 Canyon Falls Twinsburg OH 44087 Ph: (216) 265-8844 |
NPI Number | 1184782195 |
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Provider Enumeration Date | 12/04/2006 |
Last Update Date | 07/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184782195 | NPI | - | NPPES |
0211372 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8930 Canyon Falls, Twinsburg, OH 44087 Phone: 216-265-8810 Fax: 216-265-8890 | |