LORAIN COUNTY HEALTH & DENTISTRY NPI 1598930877

NPI Information

NPI: 1598930877
Provider Name: LORAIN COUNTY HEALTH & DENTISTRY
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3745 GROVE AVE
LORAIN, OH
ZIP 44055
Phone: (440) 240-1655
Get Directions

LORAIN COUNTY HEALTH & DENTISTRY is a federally qualified health center (fqhc) clinic center in Lorain, OH. LORAIN COUNTY HEALTH & DENTISTRY NPI is 1598930877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3745 GROVE AVE
LORAIN, OH
ZIP 44055
Phone: (440) 240-1655
Fax: (440) 245-1218

The provider's authorized official is Stephanie Wiersma .
The authorized official title is President & Ceo and has the following contact phone number (440) 233-1059.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 9/30/2013.

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	Primary
1	122300000X	Dentist		No
2	204E00000X	Oral & Maxillofacial Surgery		No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	207V00000X	Obstetrics & Gynecology		No
6	208000000X	Pediatrics		No
7	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	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	CJ8620	OTHER	OHIO	MEDICARE RAILROAD
2	2500841	MEDICAID	OHIO
3	361885	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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