SIGNATURE HEALTH INC. NPI 1174251532

NPI Information

  • NPI: 1174251532
  • Provider Name: SIGNATURE HEALTH, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • CLIA Number: 36D2274015
  • Address: 2255 ROCKEFELLER RD STE E
    WICKLIFFE, OH
    ZIP 44092
  • Phone: (440) 578-8200

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NPI Details

SIGNATURE HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Wickliffe, OH. SIGNATURE HEALTH, INC. NPI is 1174251532. The provider is registered as an organization entity type.

The provider's business location address is:

2255 ROCKEFELLER RD STE E
WICKLIFFE, OH
ZIP 44092-020
Phone: (440) 578-8200

The provider's authorized official is Jonathan Albert Lee .
The authorized official title is Ceo and has the following contact phone number (440) 953-9999.

The CLIA number assigned to this NPI record is 36D2274015 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2022 and was last updated on 8/12/2022.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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

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