Great East Rehab Inc
LBN: Interdisciplinary Medical Mgt
Great East Rehab Inc is an health care organization with primary practice located at 2103 Niles Cortland Rd , Warren OH 44484. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Suppliers / Durable Medical Equipment & Medical Supplies. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Interdisciplinary Medical Mgt can be contacted via phone (330) 544-3737, or through Stychno, Catherine A via phone (330) 544-3737.
Contact Information
Primary practice address
2103 Niles Cortland Rd
Warren OH 44484
Phone: (330) 544-3737
Fax: (330) 544-3904
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6881 | Ohio |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 6881 | Ohio |
Profile Details
NPI number | 1104904663 |
---|---|
LBN Legal business name | Interdisciplinary Medical Mgt |
DBA Doing business as | Great East Rehab Inc |
Authorized official | Stychno, Catherine A OWNER |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104904663 | NPPES |
Ohio | MEDICAID | 2365202 |
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