SIGNATURE HEALTH INC. NPI 1104647486

NPI Information

  • NPI: 1104647486
  • Provider Name: SIGNATURE HEALTH, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 38876 MENTOR AVE
    WILLOUGHBY, OH
    ZIP 44094
  • Phone: (440) 953-9999

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NPI Details

SIGNATURE HEALTH, INC. is a clinic center in Willoughby, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SIGNATURE HEALTH, INC. NPI is 1104647486. The provider is registered as an organization entity type.

The provider's business location address is:

38876 MENTOR AVE
WILLOUGHBY, OH
ZIP 44094-931
Phone: (440) 953-9999

The provider's authorized official is Jonathan Albert Lee .
The authorized official title is Ceo and has the following contact phone number (440) 578-8200.

The enumeration date for this NPI number is 10/21/2024 and was last updated on 10/21/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 3/30/2025

NPI Synchronization or Removal

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