OM HEALTHCARE LLC NPI 1205838067

NPI Information

NPI: 1205838067
Provider Name: OM HEALTHCARE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
125 E BROAD ST
STE 215
ELYRIA, OH
ZIP 44035
Phone: (440) 329-7305
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OM HEALTHCARE LLC is a multi-specialty clinic center in Elyria, OH. OM HEALTHCARE LLC NPI is 1205838067. The provider is registered as an organization entity type.

The provider's business location address is:

125 E BROAD ST
STE 215
ELYRIA, OH
ZIP 44035
Phone: (440) 329-7305
Fax: (440) 329-7798

The provider's authorized official is Kathy Darlene Becker .
The authorized official title is Office Manager and has the following contact phone number (440) 326-4355.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 7/21/2022.

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
1	261QM1300X	Clinic/Center	Multi-Specialty		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	09328932	OTHER	OHIO	MEDICARE STE 215
2	2348963	MEDICAID	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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