| Westshore Primary Care Assoc. Inc. | |
|
26908 Detroit Rd Suite 201 Westlake OH 44145-2398 | |
| (440) 777-3500 | |
| (440) 716-2362 |
| Full Name | Westshore Primary Care Assoc. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 26908 Detroit Rd, Westlake, Ohio |
| Authorized Official Name and Position | Misty A Blaylock (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4408926406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westshore Primary Care Assoc. Inc. 26908 Detroit Rd Suite 301 Westlake OH 44145-2398 Ph: (440) 617-1823 | Westshore Primary Care Assoc. Inc. 26908 Detroit Rd Suite 201 Westlake OH 44145-2398 Ph: (440) 777-3500 |
| NPI Number | 1649289695 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 08/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649289695 | NPI | - | NPPES |
| 0858077 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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