COUNTY OF LAKE COURT HOUSE NPI 1598826216

NPI Information

NPI: 1598826216
Provider Name: COUNTY OF LAKE COURT HOUSE

Doing Business As: LAKE COUNTY GENERAL HEALTH DISTRICT

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
5966 HEISLEY RD
MENTOR, OH
ZIP 44060
Phone: (440) 350-2554
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COUNTY OF LAKE COURT HOUSE is a public health and state or local clinic center in Mentor, OH. COUNTY OF LAKE COURT HOUSE NPI is 1598826216. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake County General Health District.

The provider's business location address is:

5966 HEISLEY RD
MENTOR, OH
ZIP 44060-886
Phone: (440) 350-2554
Fax: (440) 350-2956

The provider's authorized official is Ron Graham .
The authorized official title is Health Comissioner and has the following contact phone number (440) 350-2554.

The CLIA number assigned to this NPI record is 36D0334774 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 1/22/2019.

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	261QP0905X	Clinic/Center	Public Health, State or Local			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	0567480	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

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