| University Hospitals Medical Group, Inc. | |
|
2345 Crocker Rd Westlake OH 44145-6798 | |
| (440) 250-2300 | |
| Not Available |
| Full Name | University Hospitals Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2345 Crocker Rd, Westlake, Ohio |
| Authorized Official Name and Position | Larry Mcelroy (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 2167678717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Hospitals Medical Group, Inc. 3605 Warrensville Center Rd 1st Floor Shaker Hts OH 44122-5203 Ph: (216) 286-6260 | University Hospitals Medical Group, Inc. 2345 Crocker Rd Westlake OH 44145-6798 Ph: (440) 250-2300 |
| NPI Number | 1578796090 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578796090 | NPI | - | NPPES |
| 2691903 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (Ohio) | Primary |
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