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LORAIN COUNTY HEALTH & DENTISTRY NPI 1720485659


NPI Information

NPI: 1720485659
Provider Name: LORAIN COUNTY HEALTH & DENTISTRY
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
105 LOUDEN CT
ELYRIA, OH
ZIP 44035
Phone: (440) 240-1655
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LORAIN COUNTY HEALTH & DENTISTRY is a federally qualified health center (fqhc) clinic center in Elyria, OH. LORAIN COUNTY HEALTH & DENTISTRY NPI is 1720485659. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 LOUDEN CT
ELYRIA, OH
ZIP 44035-028
Phone: (440) 240-1655
Fax: (440) 240-1218

The provider's authorized official is Stephanie Wiersma .
The authorized official title is Ceo and has the following contact phone number (440) 233-0159.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 11/20/2014.


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 MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207R00000XInternal MedicineNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
6363L00000XNurse PractitionerNo
7363LP0200XNurse PractitionerPediatricsNo
8363LP2300XNurse PractitionerPrimary CareNo
9261QF0400XClinic/CenterFederally 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.