SIGNATURE HEALTH INC. NPI 1336687482

NPI Information

NPI: 1336687482
Provider Name: SIGNATURE HEALTH INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 36D2218227

Address:
4726 MAIN AVE
ASHTABULA, OH
ZIP 44004
Phone: (440) 992-6600
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SIGNATURE HEALTH INC. is a federally qualified health center (fqhc) clinic center in Ashtabula, OH. SIGNATURE HEALTH INC. NPI is 1336687482. The provider is registered as an organization entity type.

The provider's business location address is:

4726 MAIN AVE
ASHTABULA, OH
ZIP 44004-929
Phone: (440) 992-6600

The provider's authorized official is Ryan Wood .
The authorized official title is Cfo and has the following contact phone number (440) 953-9999.

The CLIA number assigned to this NPI record is 36D2218227 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.

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	261QF0400X	Clinic/Center	Federally 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: 11/14/2023

NPI Synchronization or Removal

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