Ohio Permanente Medical Group

LBN: Kaiser Permanente
Ohio Permanente Medical Group is an health care organization with primary practice located at 12301 Snow Rd , Parma OH 44130. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Kaiser Permanente can be contacted via phone (216) 265-8810, or through Revis, Tom via phone (216) 265-8844.

Contact Information

Primary practice address
12301 Snow Rd Parma OH 44130
Fax: (216) 265-8810
Website:
Authorized official contact:
Name: Revis, Tom

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1528163219
LBN Legal business name Kaiser Permanente
DBA Doing business as Ohio Permanente Medical Group
Authorized official Revis, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Jan 30th, 2008 - about 16 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 1528163219 NPPES
Ohio MEDICAID 0211372

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