HARBOR MEDICAL CLINIC INC. NPI 1205829082

NPI Information

NPI: 1205829082
Provider Name: HARBOR MEDICAL CLINIC, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
611 LAKE AVE
ASHTABULA, OH
ZIP 44004
Phone: (440) 964-0616
Get Directions

HARBOR MEDICAL CLINIC, INC. is a family medicine in Ashtabula, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HARBOR MEDICAL CLINIC, INC. NPI is 1205829082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

611 LAKE AVE
ASHTABULA, OH
ZIP 44004-262
Phone: (440) 964-0616
Fax: (440) 964-3703

The provider's authorized official is James Lambros .
The authorized official title is President and has the following contact phone number (440) 964-0616.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 1/6/2010.

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	207Q00000X	Family Medicine		34002513	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	OHIO	TAX ID
2	3001834	MEDICAID	OHIO
3	E32433	MEDICARE UPIN	OHIO
4	9345381	MEDICARE PIN	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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