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UNIVERSITY PRIMARY CARE PRACTICES INC NPI 1679602882


NPI Information

NPI: 1679602882
Provider Name: UNIVERSITY PRIMARY CARE PRACTICES INC

Doing Business As: CONNEAUT MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2125619

Address:
167F W MAIN RD
CONNEAUT, OH
ZIP 44030
Phone: (330) 599-7466
Get Directions

UNIVERSITY PRIMARY CARE PRACTICES INC is a family medicine in Conneaut, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UNIVERSITY PRIMARY CARE PRACTICES INC NPI is 1679602882. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Conneaut Medical Group.

The provider's business location address is:

167F W MAIN RD
CONNEAUT, OH
ZIP 44030-057
Phone: (330) 599-7466
Fax: (330) 593-6498

The provider's authorized official is Steve Riddle .
The authorized official title is Director Of Billing Services and has the following contact phone number (216) 383-6480.

The CLIA number assigned to this NPI record is 36D2125619 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 4/12/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19307962MEDICARE PINOHIO

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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