UPMC COMMUNITY MEDCINE INC is a non pharmacy dispensing site in Andover, OH. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) UPMC COMMUNITY MEDCINE INC NPI is 1235538828. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Family Medicine Andover.
The provider's business location address is:
149 E MAIN ST
ANDOVER, OH
ZIP 44003-479
Phone: (440) 293-5555
The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.
The CLIA number assigned to this NPI record is 36D0333569 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/19/2014.