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
Fax: (330) 544-3904
Website:
Authorized official contact:
Name: Stychno, Catherine A OWNER

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104904663 NPPES
Ohio MEDICAID 2365202

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