SIGNATURE HEALTH MEDICAL GROUP INC NPI 1205293164

NPI Information

NPI: 1205293164
Provider Name: SIGNATURE HEALTH MEDICAL GROUP, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
38882 MENTOR AVE
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 953-9999
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SIGNATURE HEALTH MEDICAL GROUP, INC is a community health clinic center in Willoughby, OH. SIGNATURE HEALTH MEDICAL GROUP, INC NPI is 1205293164. The provider is registered as an organization entity type.

The provider's business location address is:

38882 MENTOR AVE
WILLOUGHBY, OH
ZIP 44094-875
Phone: (440) 953-9999
Fax: (440) 918-3839

The provider's authorized official is Jonathan Albert Lee .
The authorized official title is Ceo and has the following contact phone number (216) 402-6269.

The enumeration date for this NPI number is 1/24/2016 and was last updated on 1/24/2016.

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
1	261QC1500X	Clinic/Center	Community Health			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: 11/14/2023

NPI Synchronization or Removal

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