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OUTREACH PROFESSIONAL SERVICES INC NPI 1801078571


NPI Information

NPI: 1801078571
Provider Name: OUTREACH PROFESSIONAL SERVICES INC

Doing Business As: CUYAHOGA PHYSICIAN NETWORK

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 36D0708567

Address:
33001 SOLON RD
SUITE 112
SOLON, OH
ZIP 44139
Phone: (440) 248-2197
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OUTREACH PROFESSIONAL SERVICES INC is a durable medical equipment medical supplies in Solon, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. OUTREACH PROFESSIONAL SERVICES INC NPI is 1801078571. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cuyahoga Physician Network.

The provider's business location address is:

33001 SOLON RD
SUITE 112
SOLON, OH
ZIP 44139
Phone: (440) 248-2197
Fax: (440) 349-7131

The provider's authorized official is Kelly A Mowrer .
The authorized official title is Credentialing Specialist and has the following contact phone number (216) 472-2741.

The CLIA number assigned to this NPI record is 36D0708567 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/4/2007 and was last updated on 5/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207X00000XOrthopaedic SurgeryNo
32084N0400XPsychiatry & NeurologyNeurologyNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10251856MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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