| Westshore Primary Care Assoc Inc | |
|
29325 Health Campus Dr Ste 2 Westlake OH 44145 | |
| (440) 835-6142 | |
| (440) 899-4383 |
| Full Name | Westshore Primary Care Assoc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 29325 Health Campus Dr, Westlake, Ohio |
| Authorized Official Name and Position | Carla R Heun (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 29325 Health Campus Dr Ste 2 Westlake OH 44145 Ph: (440) 835-6142 |
| NPI Number | 1790892792 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 01/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790892792 | NPI | - | NPPES |
| 0858077 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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